Connect public, paid and private patent data with Google Patents Public Datasets

Cartridge and powering instrument for stapling skin and fascia

Download PDF

Info

Publication number
US3717294A
US3717294A US3717294DA US3717294A US 3717294 A US3717294 A US 3717294A US 3717294D A US3717294D A US 3717294DA US 3717294 A US3717294 A US 3717294A
Authority
US
Grant status
Grant
Patent type
Prior art keywords
cartridge
staple
pusher
staples
element
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
Inventor
D Green
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SURGICAL CORP
Original Assignee
SURGICAL CORP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Grant date

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0684Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying above the tissue during stapling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically

Abstract

A disposable staple cartridge housing a plurality of staples on a flexible belt and adapted to inject and form the staples, singly, into the disunited skin or fascia of a patient. Downwardly projecting flanges on a staple pusher act directly on the forwardmost staple positioned between a pair of adjacent teeth in the flexible belt and move the staple, the belt and its contents, with each stroke of the pusher. The forwardmost staple, when acted upon by the pusher, advances, rides out of the plane of the flexible belt and into the plane of the pusher and is ejected and bent around an anvil assembly. On the return stroke of the pusher, the downwardly projecting flanges flex out of the plane of the next successive staple, moving over that staple, and then take a position in readiness for the following stapling operation. The cartridge is provided with means for preventing the retraction of the staple housing belt during the rearward stroke of the pusher. In a second embodiment of the disposable cartridge, a plurality of staples are advanced as described above, but the number of disposable elements are reduced. With this embodiment, an inventive adaptor serves to associate the cartridge with a powering instrument. Also disclosed is a novel and simplified gas activated powering unit which develops a rectilinear thrust for advancing and forming staples.

Description

United States Patent 1 Green 1 Feb. 24), 1973 lnventor:

Assignee:

David T. Green, Norwalk, Conn.

United States Surgical Corporation,

Baltimore, Md.

Filed:

Dec. 14, 1970 Appl. No.: 97,995

[52] US. Cl ..227/19, 227/136 [51] Int. Cl ..B25c 5/00 [58] Field of Search ..227/l9, 83,108, 112, 113, 227/119, 120, 136, 138, 139

[56] References Cited UNITED STATES PATENTS 2,765,468 10/1956 Cootes et a1 ..227/l12 X 3,009,156 11/1961 Lerner ..227/l36 X 3,009,618 11/1961 Lerner ..227/136 X 3,099,837 8/1963 Heilman et a1. ..-...227/112 X 3,156,376 11/1964 Lasting ..227/113 X Primary ExaminerGranville Y. Custer, Jr. Att0meyFleit, Gipple & Jacobson [57] ABSTRACT A disposable staple cartridge housing a plurality of staples on a flexible belt and adapted to inject and form the staples, singly, into the disunited skin or fascia of a patient. Downwardly projecting flanges on a staple pusher act directly on the forwardmost staple positioned between a pair of adjacent teeth in the flexible belt and move the staple, the belt and its contents, with each stroke of the pusher. The forwardmost staple, when acted upon by the pusher, advances, rides out of the plane of the flexible belt and into the plane of the pusher and is ejected and bent around an anvil assembly. On the return stroke of the pusher, the downwardly projecting flanges flex out of the plane of the next successive staple, moving over that staple, and then take a position in readiness for the following stapling operation. The cartridge is provided with means for preventing the retraction of the staple housing belt during the rearward stroke of the pusher. In a second embodiment of the disposable cartridge, a plurality of staples are advanced as described above, but the number of disposable elements are reduced. With this embodiment, an inventive adaptor serves to associate the cartridge with a powering instrument. Also disclosed is a novel and simplified gas activated powering unit which develops a rectilinear thrust for advancing and forming staples.

33 Claims, 17 Drawing Figures PATENTEnrmzoma v sum '2 [IF 7 PATENTEB FEBZ 01975 sum 3 0r 7 R WE R 6 T m v A wm ATTORNEYS PATENTED me man SHEEI 4 0F 7 INVENTOR DAVID T: GREEN J ATTORNEYS PATENTED FEB201973 SHEET 5 OF 7 Odd-m SHEET 6 BF 7 mad-m CARTRIDGE AND POWERING INSTRUMENT FOR STAPLING SKIN AND FASCIA BACKGROUND OF THE INVENTION The basic principle of ejecting and forming surgical 5 staples in the disunited skin or fascia of a patient is disclosed in U.S. Pat. No. 3,543,851 issued Feb. 22, 1972 and assigned to the present assignee. In this patent and in U.S. Pat. No. 3,662,939 issued May 16, 1972, also assigned to the present assignee, the staples housed in their respective cartridges are driven by helical screws which are, in turn, rotated by a complex gearbox arrangement integral with the powering instrument.

More recently, in the development of the skin and fascia stapler, as evidenced in U.S. Pat. No. 3,618,842 I issued Nov. 9, 1971 and U.S. Pat. No. 3,638,847 issued Feb. 1, 1972, each assigned to the present assignee, cartridges have been designed which eliminate the requirement for the complex gearing once needed in the powering of the instrument. In these issued patents, the output shaft of the powering instrument need only have rectilinear thrust capabilities. The staples are advanced by means designedinto the cartridges themselves. In the first of these patents, the advancing pusher, integral with the cartridge, rotates a pair of staple-driving screws by means of cams formed in the rear portions of the screws. In the second of these patents, the staples are driven forward by the interaction of pairs of opposing ratchet teeth integral with the cartridge.

As with the known cartridges, gas powering units have been the subject matter of several patent applications in the past few years. Gas powering units have been described in the first of the issued patents noted 3 5 above and in several of the subsequent patents also noted above. Further, a gas powering unit is described in U.S. Pat. No. 3,613,507 issued Oct. 19, 1971 entitled POWER PACK UNIT, also assigned to the present assignee. These units, while having proven themselves in actual usage tend to be somewhat more complex than is necessary. And, while the hydraulic actions of these units have been adequate for the intended purposes, there are areas wherein improvement is possible.

While the art of ejecting and forming staples in the skin or fascia of a patent has come a long way since its inception, both instruments and cartridges still texid to be somewhat complex in manufacture and in operation. Accordingly, the costs associated with known cartridges and instruments tend to be high.

It is toward the provision of a cartridge and a powering instrument which are simplified both in design and in manufacture, and hence are reduced in cost, that the present invention is directed.

SUMMARY OF THE lNVENTlON tridge for providing the rectilinear thrust capabilities necessary to actuate the cartridges.

1n the first embodiment of the inventive cartridge, a flexible toothed belt is moveably housed in a main body. Staples are guided and are advanced by association with spaced teeth of the flexible belt. The cartridge is equipped with an anvil integral with the main body and a pusher which serves the functions of advancing the staples and singly ejecting and forming same. On the forward face of the pusher element, are a pair of downwardly projecting flanges extending into the plane of the staples. With each forward stroke of the pusher, the flanges engage the forwardmost staple and advance same along a guide track in the cartridge. With the initial movement of the forwardmost staple, the flexible belt is advanced in the cartridge, thereby advancing each staple associated with the belt. With the advanced movement of the pusher, the forwardmost staple engages a ramp assembly and rides out of the plane of the flexible belt and into the plane of the pusher. The continued forward motion of the pusher ejects the forward staple from the cartridge and forms same about the anvil assembly.

On the return stroke of the pusher, with the flexible belt restrained against rearward movement, the downwardly projecting flanges ride over the next successive staple and then drop into the plane of that staple, thereby readying the cartridge for another staple ejecting operation.

With the inventive cartridge, the surgeon is always apprised of the fullness of the cartridge. The number of staples remaining in the cartridge may easily be ascertained by inspecting the clear plastic bottom thereof. As the flexible belt moves into the region of the cartridge bottom, with each staple ejection, the line of the belt passes a set of numbers. The alignment of the belt end with a number is indicative of the remaining staples.

In the second embodiment of the inventive cartridge, the staples are housed in and guided by a flexible belt and are ejected and formed much in the same manner as described above. However, the second embodiment of the cartridge is much smaller than the first, is less costly to produce, and hence results in a savings when one remembers that the cartridge is disposable. The second embodiment of the cartridge takes the form of a main body in which is positioned a moveable flexible belt loaded with staples. A small pusher element, the forward face of which is constructed as described above, is slidably mounted in the main body.

The second embodiment of the inventive cartridge is designed to mate with an adaptor unit which connects the cartridge to the powering instrument. The adaptor takes the form of an elongated body in which is slidably mounted an arm for connecting the drive shaft of the instrument to the pusher of the cartridge, and on which is provided an anvil assembly. It should be apparent, therefore that the adaptor mates with the second embodiment of the cartridge in such a manner that the cartridge has each of the elements and functions possessed by the first embodiment of the cartridge. The difference, however, is that with the second embodiment of the cartridge, only a small pusher unit, rather than the elongated unit of the first embodiment, is disposable. Further, there is no disposable anvil assembly in the second embodiment.

The inventive instrument takes the form of a substantially cylindrical body housing a trigger unit, a gas supply chamber, a power pack unit and an output shaft. The instrument is designed to mate either with the first embodiment of the inventive cartridge or with the adaptor unit.

The power pack unit, or the portion of the inventive instrument which converts gas pressure into rectilinear motion, is similar, in many respects, to the power pack of U.S. Pat. Application Ser. No. 32,550, noted above. Gas pressure originates in a standard CO, tank and is maintained in the tank until the instrument is triggered. At that time, a spring biased gas seal is unseated, thereby allowing gas to flow into a first pressure chamber. Then the gas flows into a large pressure chamber and ultimately drives a piston integral with the output shaft of the instrument. Once the piston is driven, the gas seal is reseated by the action of the biasing spring, and the power pack unit is readied for the next driving operation.

Basically, the inventive powering unit differs from each of the units known to the prior art in that the prior art units require pressure differentials to reseat the gas seal. As a consequence of this, when the pressure in the CO tank changes from one firing to the next, so too does the required pressure for closing the gas seal. Therefore, the known gas powering units, while reliable, fail to operate with a constant set of parameters and hence may operate with slight variations between one firing and the next. In contradistinction to this, the inventive gas powering unit depends upon the constant forces developed by springs to reseat the gas seal. I-Ience, while pressure changes affect the operation of the unit to some extent, there is significantly less operational variance exhibited by the inventive unit than is exhibited by each of the units known to the prior art.

Accordingly, it is one object of the present invention to provide a novel and simplified cartridge for housing a plurality of staples and having the capability of ejecting and forming staples singly in the disunited skin or fascia of a patient.

It is a further object of the present invention to provide a novel staple housing cartridge whose pusher element advances a plurality of staples and ejects and forms such staples singly, requiring only rectilinear motion from a power source.

Yet a further object of the invention is to provide a novel staple carrying cartridge housing a plurality of staples within the teeth of a flexible belt.

Still a further object of the present invention is to provide a staple carrying cartridge housing a plurality of staples along a flexible belt and equipped with a pusher element for advancing each of the staples and the belt and for simultaneously ejecting from said cartridge the forwardmost staple.

Yet another object of the present invention is to provide a compact, inexpensive and disposable cartridge for carrying a plurality of staples and for associating with a powering instrument, the cartridge and instrument serving, together, to join the disunited skin of the patient by means of surgical staples.

A further object of the present invention is to provide a novel and disposable cartridge housing a plurality of staples and designed to associate with an adaptor having anvil means and pusher means, and serving to connect the cartridge to a powering instrument.

Another object of the present invention is to provide a novel staple housing cartridge having simplified means for displaying the number of staples remaining in such cartridge.

A further object of the present invention is to provide a staple housing cartridge having a pusher element whose forward face is stepped in such a manner as to minimize the forces required for forming a surgical staple.

Still a further object of the present invention is to provide a novel adaptor to connect a disposable staple housing cartridge to a powering instrument. 4

Yet another object of the present invention is to provide a novel and simplified instrument for developing a rectilinear thrust for ejecting staples from an associated cartridge.

A further object of the present invention is to provide a novel gas powered instrument having a simplified power pack assembly.

A further object of the present invention is to provide a novel gas powered instrument having a novel hammer-type trigger assembly.

These and other objects of the present invention, as well as many of the attendant advantages thereof, will become more readily apparent when reference is made to the following description taken in conjunction with the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a side view of the inventive gaspowered surgical instrument showing its association with a cartridge;

FIG. 2 is a cross-section through the body of a staple carrying cartridge constructed in accordance with the first embodiment of the present invention;

FIG. 3 is a bottom view of the cartridge illustrated in FIG. 2;

FIG. 4 is an enlarged top view of the forward portion of the cartridge illustrated in FIG. 2;

FIG. 5 is a cross-section similar to FIG. 2, illustrating the manner in which the staples change planes of travel during the staple driving operation;

FIG. 6 is a view similar to FIG. '5 showing the cartridge at a later time during the staple driving operation;

FIG. 7 is a view similar to FIG. 5 showing the car tridge during the return stroke of the pusher;

FIG. 8 is a view similar to FIG. 7, but showing an alternate arrangement for preventing retracting of the flexible belt;

FIG. 9 is an enlarged perspective of the forward end of the novel pusher; I

FIG. 10 is a front view, partially in section, illustrating the cartridge shown in FIG. 2;

FIG. 11 is a schematic showing an early stage of staple formation in the skin of a patient;

FIG. 12 is a view similar to FIG. 11, but showing a later stage of staple formation;

FIG. 13 is a cross-section through the inventive power pack unit;

FIG. 14 is a side view, partially in section, illustrating the inventive adaptor unit and the second embodiment of the inventive cartridge unit;

FIG. 15 is a partial cross-section illustrating the interaction between the adaptor and the second embodiment of the cartridge;

FIG. 16 is a top view of the nose of the inventive adaptor, with its cover removed; and

FIG. 17 is a front view of the second embodiment of the cartridge.

DETAILED DESCRIPTION OF THE DRAWINGS With reference now to the figures, and particularly with reference to FIGS. 1 through 10, the first embodiment of the inventive cartridge will be described. The cartridge is shown generally at and, in FIG. 1, is shown mounted on a C0 powering instrument 12. The cartridge 10 comprises, basically, a main body 14 having a pair of side walls 16 and 18, a front wall 20, and a rear wall 22. A solid projection 24, which may connect the side walls 16 and 18, is centrally positioned in the main body 14. A metallic cover 26 encloses the main body at the top thereof and a transparent plate 28 encloses the main body at its bottom. An anvil 44 is made integral with the forwardmost region of the cover 26.

A flexible belt or guide track 30, as of Lexan, polypropylene, or similar material, is fit in the main body 14 and is adapted to slide between the central projection 24 and the cover 26, and to slide between the projection 24 and the bottom plate 28. The flexible belt 30 is substantially planar in configuration but also has a plurality of teeth 32 on one side thereof, between which teeth 32 are defined a plurality of staple carrying grooves or contact surfaces 34. For reasons which will be explained below, every third groove 34 is continuous at the central region 35 of the belt 30, extending entirely through the body of the belt. A staple 36 is housed in and is guided by every third groove 34 of the flexible belt 30. It can be seen that the staples are housed in other than the continuous grooves of the belt 30. A substantially planar and flexible staple pusher 38 is positioned intermediate the flexible belt 30 and the cover 26, and is adapted for linear motion along the length of the cartridge 10. As best seen in FIGS. 2, 4, 9 and 10, while the major portion of the pusher 38 lies above the plane of the staples 36, a pair of downwardly projecting flanges 40, at the forward outermost regions of the pusher 38, are adapted to project into the plane of the staples. The downwardly projecting flanges 40 of the pusher 38 are oriented outside the transverse limits of the flexible belt 30, but associate with the staples 36 through the means of the cross-pieces thereof.

The forward face of the pusher 38 is stepped. The deepest step defines a base 42, of a width equal to the width of the anvil 44 plus slightly more than twice the diameter of a staple 36. The steps defined in the pusher define what may be termed moment points 46, 48 and 50, which serve, as will be explained below, to assist in singly bending the staples 36 around the anvil 44.

The inventive cartridge 10 is'provided with means for preventing the movement of the flexible belt 30 in a direction opposite to that indicated by arrow 52 (FIG. 2). These means take the following form. A body of material is removed from the central region of the projection 24. The material is removed, however, so as to define a thin flexible arm 54 having a projection 56, extending, when relaxed, into the plane of the flexible belt 30. The upper surface of the projection 56 is tapered at 58 so that when the flexible belt 30 moves in the direction of arrow 52, the arm 54 is cammed out of the plane of the belt by the full grooves 54.

As noted previously, the bottom plate 28 is formed from a transparent material. Therefore, as can be seen with reference to FIG. 3, the lower portion of the flexible belt 30 is visible through the transparent plate 28. The plate 28 is provided with a set of indicia which is indicative of the number of staples remaining in the cartridge 10. As the staples are expelled from the cartridge, the belt 30 moves in the direction of arrow 59, with the lead end of the belt aligning with a number on the bottom plate 28. In this manner, the surgeon is always apprised of the need for replacing an exhausted cartridge.

With reference now to FIGS. 4, 5 and 10, the staple guiding mechanism of the inventive cartridge will be described. Over a major portion of the length of the body 10, the arms of the staples 36 are guided along ledges 59 defined in the respective side walls 16 and 18. Near the front face 20 of the cartridge 10, the staples are acted upon by two sets of ramps 60 and 62, respectively. The ramps 60 are spaced apart so as to act on the cross-pieces of the staples 36, while the ramps 62 are spaced apart so as to act on the legs of the staples. The sets of ramps 60 and 62 are longitudinally spaced apart so that when a staple 36 is advanced in the direction of arrow 64 (FIG. 4), it simultaneously engages the sets of ramps 60 and 62 so that the crosspiece and the arms of the staple change planes in unison.

With continuing reference to FIGS. 1 through 10, the operation of the inventive cartridge will now be described. As seen best in FIG. 2, the drive element 66 of the powering instrument 12 extends through a groove 68 in the rear of the pusher 38. As will be explained below, each triggering of the instrument 12 advances the drive element 66 toward the front of the cartridge 10. Therefore, the cover 26 is slotted at 70. And, as in each of the related copending patent applications described above, the movement of the pusher 38 is positively controlled by the drive element 66 of the powering instrument 12.

The cartridge 10 is shipped with the elements in the relative positions illustrated in FIG. 2. When in the operating arena, the pre-sterilized disposable cartridge 10 is removed from its sealed package and is inserted on the instrument 12. As seen best in FIG. 1, the rear of the cartridge cover 26 is provided with at least one upstanding tab 27 adapted to associate with a corresponding at least one notch (not shown) in the body of the instrument 12. The cartridge 10 is advanced toward the powering instrument 12 as shown in solid lines in FIG. 1 and is then moved into the position indicated in phantom. Finally, the U-shaped bracket 74 is moved into the position shown in phantom and the screw 76 is tightened so as to bear on the bottom plate 28 of the cartridge 10. The drive element 66 of the instrument 12 now unites with the slot 68 in the pusher 38 and the cartridge 10 is held fixed with respect to the instrument 12.

When the instrument 12 is tired, the driving element 66 moves forward relative to the cartridge 10. So, too, therefore, does the pusher 38. When the pusher 38 moves toward the forward face of the cartridge 10, the downwardly extending flanges 40 come into contact with the cross-piece of the forwardmost staple 36. With continued forward movement of the pusher 38, the forwardmost staple 36 is urged forwardly. And, as the forward staple 36 is maintained in its groove 34 (held by the respective outer regions of the sides of the cover 26), the flexible belt 30 is caused to move in the direction of arrow 52. Therefore, each of the staples 36 is advanced in the body of the cartridge 10.

Continued forward movement of the pusher 38, in the direction of arrow 64, brings the cross-piece of the forwardmost staple 36 into engagement with the set of ramps 60 and brings the legs of the staple 36 into engagement with the set of ramps 62. Then, with still further movement of the pusher 38, the forwardmost staple 36 moves in the direction of arrows 78 (FIG. up the sets of ramps 60 and 62, and shifts from the plane of the flexible belt 30 into the plane of the pusher 38. As the staple 36 rises from the plane of the belt into the plane of the pusher, the cross-piece of the staple slides along the respective forward faces of the downwardly extending flanges 40.

During the time when the forwardmost staple rides within the confines of its guiding groove 34, the flexible belt 30 moves in the direction of arrow 52; this movement continues until the staple rises out of its groove and into the plane of the pusher. Further movement of the pusher 38 in the direction of arrow 64 results in the expulsion of the forwardmost staple 36 from the cartridge 10 and the formation of that staple around the anvil 44.

When the pusher 38 is at the forwardmost portion of its stroke, each of the staples 36 has been advanced in the body of the cartridge 10 substantially one complete staple length. And, when the pusher is in .this position, the upstanding flange 56 on the flexible arm 54 is in the plane of the flexible belt 30, entering such plane through one of the continuous grooves 34.

After a staple 36 has been formed around the anvil 44, as shown in FIG. 6, the drive element 66 and its integral pusher 38 reverse their respective directions of travel. The pusher 38 begins to retract and continues to do so, unimpeded in any way, until the sloping walls 80 of the downwardly projecting flanges 40 come into contact with the forwardmost staple 36 then remaining in the body of the cartridge 10. As the pusher 38 moves in the direction of arrow 82 (FIG. 7), the downwardly projecting flanges 40 are cammed, by the forwardmost staple, out of the plane of the staples 36 and ride over such forwardmost staple. To allow for this out-of-plane flexing of the pusher 38, the cover 26 is provided with a central raised region 84. Ultimately, the pusher 38 takes the position shown in phantom in FIG. 7, with the flanges 40 lying behind and in the plane of the forwardmost staple 36. This is precisely the position illustrated in FIG. 2, and hence the cartridge is then ready for the next firing operation.

During, the movement of the pusher 38, in the direction of arrow 82, and when the sloping or cam surfaces 80 of the flanges 40 are in contact with the crosspiece of the forwardmost staple 36, forces are generated which tend to reverse the movement of the flexible belt 30 and hence the movement of each of the staples associated therewith. Such reversed movement is, of course, undesirable and hence precautions are taken to eliminate the same. It is for this reason that the flexible arm 54, with its upwardly extending projection 56, is fit in the cartridge 10.

As best seen in FIGS. 6 and 7, the projection 56 associates with a continuous groove 34 in the belt 30 when the pusher 38 is in its forwardmost position. In this manner, all reverse forces generated in the belt 30 when the pusher 38 is cammed over the forward staple 36, are dissipated without actual reverse movement taking place in the belt or staples. See FIG. 7. However, the arm 54 with its projection 56 in no way retards the forward movement of the belt and staples. When the pusher 38 drives the belt 30 so as to advance the staples 36, the rear face of the associated continuous groove cams the projection 56 out of the plane of the belt through the action of the sloping wall 58 of such groove. See FIG. 5.

In FIG. 8, an alternate manner of preventing the retraction of the belt 30 and its staples 36 is illustrated. Contrary to the embodiment of the cartridge illustrated in FIGS. 1 through 7, where every third groove 34 is continuous, the FIG. 8 embodiment has no continuous grooves tending to weaken the belt 30. The belt grooves extend only to the base of the belt. In this embodiment, unwanted retraction of the belt 30 and its staples 36 is prevented by the provision of a small spring 86 secured to the bottom plate 28 by a pin 88. When the belt 30 is driven so as to advance the staples 36, the rear faces of the grooves 34 cam the spring 86 out of the plane of the belt. However, when the belt 30 attempts to reverse its direction of travel, during the retraction of the pusher 38, the forward face of the groove 34 in which the spring 86 is biased contacts the spring 86 and prevents movement of the belt.

With reference now to FIGS. 11 and 12, the bending of the staples 36 about the anvil 44 will briefly be described. The staple 36, when in the position illustrated in solid lines in FIG. 11, has just left the domain of the main body 14 of the cartridge 10. The alignment illustrated in this figure is maintained, however, due to the rapid movement of the pusher 38 in the direction of arrow 64 and the association of the arms of the staple 36 with the skin of the patient. Movement of the pusher 38 in the direction of arrow 64 from that position illustrated in solid lines causes the staple 36 to bend as shown in phantom in FIG. 11. This bending occurs as a result of the interaction between the anvil .44 and the pusher 38 acting through moment points 46 of the stepped region thereof.

Further movement of the pusher 38 in the direction of arrow 64, shown in phantom in FIG. 12, causes further bending of the staple 36. This further bending is a result of forces exerted on the staple 36 by the anvil 44 and the moment points 48 of the stepped region of the pusher 38. Still further movement of the pusher 38 causes the staple to take the shape illustrated in solid lines in FIG. 12, the final bending of the staple being the result of forces generated'by the anvil 44 and the moment points 50.

The forward face of the pusher 38 is stepped for the following reasons. The initial bending of the staple 36 is the most difficult stage of the bending operation. There are substantial inertial forces which must'be overcome before the staple begins to bend; and to facilitate the bending of the staple, a long moment arm is employed. After the staple has begun to bend, the inertial forces are in favor of bending, and hence a shorter movement arm is employed. In this manner, when it is most difficult to bend the staple, the bending forces are greatest; when it is easiest to bend the staple, the bending forces are reduced. Therefore, a relatively constant input force may be used to bend the staple even though the necessary bending forces change during the bending operation.

With reference now to FIG. 13, the novel power pack forming a part of the present invention will be described. The power pack is shown generally at 100 and comprises the following elements. In the specific embodiment disclosed, the main body takes the form of a four-piece unit, comprising circular cylindrical elements 102, 104, 106 and 108, respectively. Unit 102 serves basically to house a C bottle 110. A piercing pin 112 with a bore 114 passing therethrough is sealed, by Oring 116, in the rear wall of the cylindrical unit 104,=mating with the bottle 110 in the unit 102. A bore 118, extending from the forward face of the unit 104 into the region of the piercing pin 112, is provided in the cylindrical unit 104. Forward of the bore 118 in the cylindrical unit 104 is a piston housing 120 serving to slidably mount a cylindrical piston 122. An O-ring 124 seals the piston 122 against the piston housing 120.

Fixedly imbedded in the rear wall of the piston 122 is a flexible sealing element 126, such as of Celcon. The function of the element 126 is to seat against the wall of the cylindrical unit 104 in which the bore 118 is provided, thereby preventing the CO, gas from entering the region of the piston housing 120. A bore 127 passes through the body of the piston 122 and leads from the piston housing 120 to the rear wall of the piston 122. A coil spring 128 biases the piston 122 so as to seat the element 126 against the bore 118 in the cylindrical unit 104.

A cylindrical stop 130 is fixedly mounted in the unit 106 and serves as an abutment for the end of the coil spring 128 remote from the piston 122. A bore 132 passes through the center of the stop 130, while a bore 134 is defined in an extension thereof located intermediate the cylindrical units 106 and 108, respectively.

The rearward nose of the cylindrical stop 130 is of a lesser diameter than is the inner diameter of the cylindrical unit 106 adjacent such nose. A second piston 136 is slidably mounted between the nose of the cylindrical stop 130 and the inner wall of the cylindrical unit 106. The forward face of the piston 136 extends into a ring-like projection 138. Between the projection 138 and the inner wall of the cylindrical unit 106 is an 0- ring 140; and between the projection 138 and the nose of the cylindrical stop 130 is an Oring 142. A coil spring 144 acts between the piston 136 and the cylindrical unit 104, thereby biasing the piston 136 away from the piston 122. At rest, the projection 138 of the piston 136 rests against a rear wall of the cylindrical stop 130.

The internal wall of the cylindrical unit 108 defines a cylinder 146. A main piston 148 slides in the 146 and is sealed against the wall thereof by an O-ring 150. A rodlike extension 152 is integral both with the main piston 148 and with the drive element 66 (FIG. 2). A coil spring 154 biases the main piston 148 against the forward wall of the cylindrical stop 130.

In addition to the elements described above, the cylindrical unit 104 houses a triggering unit shown generally at 156. The unit 156 comprises a trigger 158 having an oblong bore 160, which trigger is mounted on a pin 162 integral with the cylindrical unit 104. A spring 164 surrounds the pin 162 and biases the trigger 158 in a clockwise direction as shown in FIG. 13 with the lower region of the oblong bore in contact with the pin 162. integral with the trigger 158 is a tongue 166 extending into the body of the unit 104.

A hammer 168 is slidably mounted in the bore 170 defined in the cylindrical unit 104. The forward face of the hammer 168 is adapted, when at rest, to contact an upstanding flange 171 on the piston 122. A groove 174, having a sloping wall 176 and a flat wall 178, is defined between the forward region of the hammer 168 and the rear region thereof, and associateswith the tongue 166 of the trigger 158. A bore extends into the rear of the hammer 168 and accommodates a coil spring 172, biasing the hammer 168 toward the flange 171 on the piston 122. The spring 172 is held in place by means of a plug 174 threaded into the body of the cylindrical unit 104. As noted previously, the spring 164 serves to maintain the base of the oblong bore 160 in contact with the spring 166. This is made possible by contouring the surface of the trigger 158 so that it comfortably associates with the upper surface of the hammer 168. A fulcrum is thus defined between the points (or surfaces) of contact between the lower surface of the trigger and the upper surface of the hammer.

The operation of the novel power pack unit is as follows. When the trigger 158 is depressed by the surgeon, the bias of the spring 164 is overcome and the trigger is pivoted in a counterclockwise direction. With the downwardly directed force acting on the trigger 158, the top of the oblong groove 160 is urged into contact with the pin 162. With pivoting of the trigger 158 in the counterclockwise direction, the tongue 166 abuts the wall 178 of the hammer 168 and causes movement of the hammer 168 in opposition to the bias of its spring 172. Such movement continues until the bottom surface of the trigger 158 comes into contact with a pin 182 rigidly secured to the cylindrical unit 104. Then, with continued force being exerted on the trigger 158, the oblong groove 160 moves with respect to the fixed pin 162 until the base of the groove 160 again nears the surface of the pin 162. Before actual contact is made,

however, the tongue 166 exists the groove 174, thereby releasing the hammer 168. v

When the hammer 168 is released by the trigger 158, it moves under the bias of its spring 172 and impacts the upstanding flange 171 of the piston 122, causes movement of the piston against the bias of-its coil spring 128, and thereby unseats the element 126 from the adjacent wall of the cylindrical unit 104. Immediately after the element 126 is unseated, the piston 122 is acted upon by C0 gas escaping through the bore 118 and into the piston housing 120. 'Thecombined inertial forces of the moving piston 122 and the forces exerted by the pressurized CO gas cause the piston 122 to seat against a flexible sealing element 184 integral with the nose of the cylindrical stop 130. With the pressurized CO, gas free to escape from the bottle 110 into the piston housing 120, and with the piston 122 seated against the cylindrical stop 130, pressurized gas passes through the piston 122, via bore 127, through cylindrical stop 130, via bore 132, and enters a small volume chamber defined between the large area rear face of the main piston 148 and the front face of the cylindrical stop 130. Acting on the large area surface, the pressurized gas exerts a substantial thrust against the main piston 148 causing the main piston to rapidly travel in the direction of arrow 188. As noted previously, such action activates the staple carrying cartridge.

With the main piston 148 executing a staple driving stroke, a substantial pressure is generated in the cylinder or piston chamber 146. In response to such pressure, gas is caused to exit the cylinder 146, through the port 134, and enter the region of the slidable piston 136. Such gas pressure causes movement of the piston 136 against the bias of its spring 144. a

It will be remembered that during the forward stroke of the main piston 148, the piston 122 seats against element 184. The upstanding flange 171 contacts or comes in close proximity to the forwardmost face of the piston 136. Therefore, movement of the piston 136 to the right (FIG. 13) causes engagement between the forwardmost face of such piston and the upstanding flange 171 of piston 122. As a consequence of this, piston 122 moves to the right, reseats itself against the adjacent wall of the cylindrical unit 104, and prevents further escape of the C0 gas into the piston housing 120, biased by its coil spring 128.

With the port 118 sealed against the passage of CO, gas, the main piston 148 is free to return to its rest position, biased by its spring .154. At the same time, the pressure is relieved on the left side of the piston 136 via passage 134 and such piston moves to the left in response to the bias of its coil spring 144. In this manner, each of the elements of the power pack are returned to their rest positions illustrated in FIG. 13

The main advantage of the inventive power pack is that once the piston 122 is reseated, sealing the port 118, the constant force coil spring 128 maintains such seating. In contradistinction to this, prior art power packs maintain the seating mainly by gas pressure. And, because the gas pressure varies somewhat with the number of cycles developed by the CO, bottle, the reseating mechanism of the prior art power packs tend to be somewhat unpredictable in nature. However, with the positive and constant force reseating mechanism of the present invention, positive and predictable reseating results.

With reference now to FIGS. 14 through 17, the second embodiment of the.inventive cartridge, and the inventive adaptor, will be described. The inventive cartridge is shown generally at 200 and the inventive adaptor at 202.

The cartridge 200 comprises, basically, a main body 204 having a central projection 206 (FIG. 15) similar to that shown at 24 in FIG. 2. A flexible belt elongated linkage or guide track 208 rides within a fixed guide member 210 defined between the central projection 206 and the body 204 of the cartridge 200. As with the first embodiment of the present invention, the belt is toothed on one side thereof, and every third tooth houses and guides a staple. A pusher 212 is contained between the top surface of the body 204 and the flexible belt 208. The forward face of the pusher 212 is provided with a pair of downwardly projecting flanges 214 identical to those described with reference to the first embodiment of the present invention. A small opening 216 is provided in the rear of the pusher 212 and is adapted, as will be explained below, to mate with a downwardly projecting flange 218 integral with a pusher extension 220 in the adaptor 202. As seen in FIGS. 14 and 17, the forward face of the cartridge 200 is open, with the flexible belt 208 exiting the cartridge at the upper region thereof, looping around and reentering the cartridge in the lower region of the guide member 210.

The cartridge 200 described above is adapted to house on the order of 30 to 40 staples. It can be seen that as the flexible belt 208 substantially forms a closed circuit around the guide member 210, such a substantial staple handling capacity results. If, on the other hand, it is desired that only 6 to 12 staples be housed, the body of the cartridge 200 may be made smaller, as indicated by the dash-dot line 222 in FIG. 14. With this arrangement, the staples would be linearly housed within the body of the cartridge.

The adaptor 202 comprises, basically, a main body 224, a cover plate 226 rigidly mounted on the main body 224, a nose 228, a cartridge lock 230, and a pusher extension 220. The rear region of the cover 226 is provided with at least one upstanding tab 232 to secure the adaptor 202 to the powering instrument 12 (as in FIG. 1). An anvil 234 is integral with the cover plate 226 and is provided at the forwardmost end thereof.

As seen in FIGS. 14 and 15, the nose 228 of the adaptor 202 is constructed so as to mate with the forward face of the cartridge 200. The cartridge 200 is associated with the adaptor 202 as follows. First, the forward face of the cartridge 200 is advanced toward the nose 228 of the adaptor 202 in the direction of arrow 236. Then, once the forward regionsof the cartridge and adaptor are in contact, the rear of the cartridge 200 is moved in the direction of arrow 236 until the cartridge lock 230 snaps into a detent 238 in the body of the cartridge 200. Then, the cartridge is ready to be fired.

It should be noted that the disposable cartridge 200 is far more simple than is the disposable cartridge 10 described above. The pusher 212 is substantially smaller than is the pusher 38. There is. no elongated metal cover to associate with the cartridge 200, nor is the cartridge 200 provided with air integral anvil. Further, and as shown in FIG. 16, the sets of ramps 240 and 242 are integral with the adaptor 202 rather than with the disposable cartridge 200. These sets of ramps serve the same function as do the sets of ramps 60 and 62 of FIG. 4. Again, therefore, the design of the cartridge 200 is simplified. In all other respects, the operation of the inventive cartridge 200 is identical with that of the inventive cartridge 10.

Above, several embodiments of the present inven tion have been described. It should be appreciated,

however, that these embodiments are described for purposes of illustration only and that numerous alterations and modifications may be practiced by those skilled in the art without departing from the spirit and scope of the invention. Accordingly, it is the intent that the invention not be limited by the above but be limited only as defined in the appended claims.

What is claimed is:

l. A staple-ejecting cartridge adapted to be sterilized, packaged and mounted on a skin-stapling instrument, the cartridge comprising; an elongated main body adapted to house a plurality of surgical staples,

'the main body having a rearward end for associating with the skin-stapling instrument and a forward end for the expulsion and formation of the staples; a guide track mounted for movement along the length of said main body for housing and guiding said staples; a plurality of contact surfaces spaced along said guide track, each for engaging a single staple and advancing same toward the forward end of said main body in response to forward movement of said guide track; a substantially planar pusher element having a major axis parallel to the major axis of said elongated main body and being positioned adjacent said guide track; at least one downwardly projecting driving surface integral with said pusher element and adapted to selectively extend adjacent to said guide track, said at least one driving surface being positioned so as to align with the crosspieces of said staples; means in operative relationship with said main body and with said guide track for singly moving said staples away from said guide track and into the plane of said pusher element in response to the forward movement of said pusher element; cam means in operative relationship with said pusher element for changing the relative positions between said at least one driving surface and said guide track during rearward movement of said pusher element so that said guide track is free from the effects of said at least one driving surface; and an anvil integral with the forward end of said elongated main body.

2. The staple-ejecting cartridge recited in claim 1, wherein the forward face of said at least one downwardly projecting driving surface is substantially perpendicular to the forward direction of movement of said guide track; and wherein said cam means is integral with said pusher element.

3. The staple-ejecting cartridge defined in claim 2, wherein each cam means takes the form of a linear surface extending downwardly and forwardly from said pusher element.

4. The staple-ejecting cartridge recited in claim 1, wherein there are two downwardly projecting driving surfaces; and wherein these surfaces are spaced apart a distance greater than the width of said guide track but less than the length of the cross-pieces of the staples.

5. The staple-ejecting cartridge recited in claim 4, wherein said pusher element and said driving surfaces are formed out of a single unitary material.

6. The staple-ejecting cartridge recited in claim 1, wherein the forward region of said pusher element is flexible; wherein said cam means is integral with the forward region of said pusher element; wherein during the rearward movement of said pusher element, the cam means contacts the cross-piece of one staple and cams said at least one downwardly projecting driving surface over said staple; and wherein said at least one downwardly projecting driving surface returns to a position adjacent to said guide track after being cammed over said staple.

7. The staple-ejecting cartridge recited in claim 6, and further comprising: means in operative relationship with said guide track for preventing the rearward movement of said guide track during rearward movement of said pusher element.

8. The staple-ejecting cartridge recited in claim 7, wherein said guide track takes the form of a flexible toothed belt; wherein the staples are housed in and are guided by the notches defined between adjacent teeth; wherein a series of spaced notches are provided in the belt on the side thereof remote from said staples; wherein said means for preventing the rearward movement of said guide track takes the form of a flexible projection extending, when relaxed, into one of said spaced notches; and wherein said projection has a track abuttment face substantially perpendicular to the track and a sloping camming face remote from said abuttment face.

9. The staple-ejecting cartridge recited in claim 7, wherein said guide track takes the form of a flexible toothed belt; and wherein said means for preventing the rearward movement of said guide track takes the form of a resilient member mounted integral with said body, adapted to engage the teeth of said belt, thereby preventing the rearward movement of said belt, and adapted to be cammed out .of the plane of said teeth during the advancement of said belt.

10. The staple-ejecting cartridge recited in claim 1, wherein said guide track, when fully loaded, with staples, extends substantially the entire length of the elongated main body on the side thereof adjacent said pusher element; wherein said fully loaded guide track extends in'the forward end of said main body from the side thereof adjacent the pusher element to the side remote therefrom; and wherein said fully loaded guide track extends a portion of the distance from the forward end of the main body to the rearward end thereof on the side of the main body remote from said pusher element.

11. The staple-ejecting cartridge recited in claim 10, wherein the side of the cartridge main body remote from said pusher element is transparent; wherein said transparent side is provided with a set of indicia; and wherein the alignment of the end of said guide track with said indicia is indicative of the number of staples remaining in said cartridge.

12. The staple-ejecting cartridge recited in claim 1,

wherein the forward face of said pusher element is stepped outwardly and forwardly so as to maximize the effect of the pusher element in bending the staples around said anvil.

13. A cartridge adaptor for supporting a surgical stapie-ejecting cartridge having a pusher element, and designed to be mounted on a skin-stapling instrument, the cartridge adaptor comprising: an elongated main body; mounting means at the rearward end of said elongated main body for removably attaching the main body to the skin-stapling instrument; an elongated substantially planar linkage slidably mounted in said main body for associating the skin-stapling instrument with the pusher element of the staple-ejecting cartridge; anvil means integral with said elongated main body at its forward end; and means in operative relationship with said cartridge for removably securing the surgical staple-ejecting cartridge to the cartridge adaptor in the region of said anvil.

14. The cartridge adaptor as recited in claim 13, and further comprising: a nose piece attached to said main body near the anvil thereof defining a portion of said means for securing the staple-ejecting cartridge; and a locking element attached to said main body near the rearward end thereof defining the remaining portion of the means for securing the staple-ejecting cartridge.

15. The cartridge adaptor as recited in claim 14, and further comprising: means integral with said nose piece for singly guiding the staples in said staple-ejecting cartridge out of the plane of said linkage and into another planar position adjacent to said anvil.

16. The cartridge adaptor recited in claim 15, wherein said means for guiding staples comprises a first set of ramps adapted to engage the cross-pieces of said staples; and a second set of ramps adapted to engage the legs of said staples; said first and said second set of ramps being spaced apart a predetermined distance so that the staple being transported from the plane of said linkage remains parallel to said linkage plane.

17. The cartridge adaptor recited in claim 14, wherein the mounting means defined in said nose piece is in the form of a recess adapted to accept the nose of said staple-ejecting cartridge; and wherein the engagement element comprises a projection adapted to engage a corresponding detent in said staple-ejecting cartridge.

18. The cartridge adaptor recited in claim 13, wherein said elongated linkage is provided, at its rearward end, with an opening for engaging the drive shaft of the skin-stapling instrument; wherein said elongated linkage is provided, at its forward end, with a projection for engaging a corresponding opening in the pusher element of the staple-ejecting cartridge; wherein said cartridge adaptor further includes a cover member and a mounting block between which is mounted said elongated linkage; and wherein said cover is slotted in order to allow for the reciprocation of the drive shaft of the skin-stapling instrument while engaging said elongated linkage.

19. A staple-ejecting cartridge adapted to be sterilized, packaged and mounted on a skin-stapling instrument, the cartridge comprising: a main body adapted to house a plurality of surgical staples and having. a forward end, a rearward end, a bottom, and an adaptor engaging surface; a guide track mounted for movement in said main body for housing and guiding said staples; a plurality of contact surfaces spaced along said guide track, each for engaging a single staple and advancing same toward the forward end of said main body in response to forward movement of said guide track; a substantially planar pusher element having a major axis parallel to said adaptor engaging surface, and positioned between said adaptor engaging surface and said guide track; at least one downwardly projecting driving surface integral with said pusher element and adapted to extend, when said pusher element is relaxed, adjacent to said guide track, said at least one driving surface being positioned so as to align with the crosspieces of said staples; cam means in operative relationship with said pusher element for changing the relative positions between said at least one downwardly projecting driving surface and said guide track during rearward movement of said pusher element so that said guide track is free from the effects of said at least one driving surface; and said main body defining a first opening near the junction between the forward end of the cartridge and the adaptor engaging surface for the expulsion of the staples from the main body in response to forward movement of the guide track.

20. The staple-ejecting cartridge recited in claim 19, wherein the forward face of said at least one downwardly projecting driving surface is substantially perpendicular to the plane of said guide track; and wherein said cam means is integral with said pusher element.

21. The staple-ejecting cartridge defined in claim 20, wherein each cam means takes the form of a linear sur face extending downwardly and forwardly from said pusher element.

22. The staple-ejecting cartridge recited in claim 19, wherein there are two downwardly projecting driving surfaces; and wherein these surfaces are spaced apart a distance greater than the width of said guide track but less than the length of the cross-pieces of the staples.

23. The staple-ejecting cartridge recited in claim 22, wherein said pusher element and said driving surfaces are formed out of a single unitary material.

24. The staple-ejecting cartridge recited in claim 19, wherein the forward region of said pusher element is flexible; wherein said cam means is integral with the forward region of said pusher element; wherein during the rearward movement of said pusher element, the cam means contacts the cross-piece of one staple and cams said at least one downwardly projecting driving surface over said staple; and wherein said at least one downwardly projecting driving surface returns to the plane of the guide track after being cammed over said staple.

25. The staple-ejecting cartridge recited in claim 19, wherein the forward face of said pusher element is stepped outwardly and forwardly so as to maximize the effect of the pusher element in bending the staples around said anvil.

26. The staple-ejecting cartridge recited in claim 19, and further comprising: a staple guide path defined in said main body, one end of said guide path communicating with said first opening in the main body, and the other end of said guide path communicating with a second opening adjacent said first opening, said guide path substantially following the outline of said main body; and wherein said guide track and said staples are moveably housed in said guide path.

27. The staple-ejecting cartridge recited in claim 26,

wherein all changes in direction of said guide path are smoothly developed. I

28. The staple-ejecting cartridge recited in claim 19, and further comprising: a staple guide path defined within said main body, substantially following the outline of said main body; and wherein said guide track and said staples are moveably housed in said guide path.

29. The staple-ejecting cartridge recited in claim 28, wherein all changes in direction of said guide path are smoothly developed.

30. The staple-ejecting cartridge recited in claim 19, for mounting on a cartridge adaptor, said cartridge further comprising: means on said cartridge for mounting said cartridge on said cartridge adaptor.

31. The staple-ejecting cartridge recited in claim 30, wherein said cartridge is designed and adapted to be mounted on the cartridge adaptor with the body of the adaptor positioned adjacent said adaptor engaging surface; and wherein said pusher element of said cartridge is adapted to engage and be controlled by a linkage element in said cartridge adaptor.

and further comprising: a detent in the rearward end of said main body for mating with a projection integral with said cartridge adaptor; and wherein said tonguelike projection and said detent interact with said cartridge adaptor to removeably and integrally mount said staple-ejecting cartridge on said cartridge adaptor.

Claims (33)

1. A staple-ejecting cartridge adapted to be sterilized, packaged and mounted on a skin-stapling instrument, the cartridge comprising: an elongated main body adapted to house a plurality of surgical staples, the main body having a rearward end for associating with the skin-stapling instrument and a forward end for the expulsion and formation of the staples; a guide track mounted for movement along the length of said main body for housing and guiding said staples; a plurality of contact surfaces spaced along said guide track, each for engaging a single staple and advancing same toward the forward end of said main body in response to forward movement of said guide track; a substantially planar pusher element having a major axis parallel to the major axis of said elongated main body and being positioned adjacent said guide track; at least one downwardly projecting driving surface integral with said pusher element and adapted to selectively extend adjacent to said guide track, said at least one driving surface being positioned so as to align with the cross-pieces of said staples; means in operative relationship with said main body and with said guide track for singly moving said staples away from said guide track and into the plane of said pusher element in response to the forward movement of said pusher element; cam means in operative relationship with said pusher element for changing the relative positions between said at least one driving surface and said guide track during rearward moVement of said pusher element so that said guide track is free from the effects of said at least one driving surface; and an anvil integral with the forward end of said elongated main body.
1. A staple-ejecting cartridge adapted to be sterilized, packaged and mounted on a skin-stapling instrument, the cartridge comprising: an elongated main body adapted to house a plurality of surgical staples, the main body having a rearward end for associating with the skin-stapling instrument and a forward end for the expulsion and formation of the staples; a guide track mounted for movement along the length of said main body for housing and guiding said staples; a plurality of contact surfaces spaced along said guide track, each for engaging a single staple and advancing same toward the forward end of said main body in response to forward movement of said guide track; a substantially planar pusher element having a major axis parallel to the major axis of said elongated main body and being positioned adjacent said guide track; at least one downwardly projecting driving surface integral with said pusher element and adapted to selectively extend adjacent to said guide track, said at least one driving surface being positioned so as to align with the cross-pieces of said staples; means in operative relationship with said main body and with said guide track for singly moving said staples away from said guide track and into the plane of said pusher element in response to the forward movement of said pusher element; cam means in operative relationship with said pusher element for changing the relative positions between said at least one driving surface and said guide track during rearward moVement of said pusher element so that said guide track is free from the effects of said at least one driving surface; and an anvil integral with the forward end of said elongated main body.
2. The staple-ejecting cartridge recited in claim 1, wherein the forward face of said at least one downwardly projecting driving surface is substantially perpendicular to the forward direction of movement of said guide track; and wherein said cam means is integral with said pusher element.
3. The staple-ejecting cartridge defined in claim 2, wherein each cam means takes the form of a linear surface extending downwardly and forwardly from said pusher element.
4. The staple-ejecting cartridge recited in claim 1, wherein there are two downwardly projecting driving surfaces; and wherein these surfaces are spaced apart a distance greater than the width of said guide track but less than the length of the cross-pieces of the staples.
5. The staple-ejecting cartridge recited in claim 4, wherein said pusher element and said driving surfaces are formed out of a single unitary material.
6. The staple-ejecting cartridge recited in claim 1, wherein the forward region of said pusher element is flexible; wherein said cam means is integral with the forward region of said pusher element; wherein during the rearward movement of said pusher element, the cam means contacts the cross-piece of one staple and cams said at least one downwardly projecting driving surface over said staple; and wherein said at least one downwardly projecting driving surface returns to a position adjacent to said guide track after being cammed over said staple.
7. The staple-ejecting cartridge recited in claim 6, and further comprising: means in operative relationship with said guide track for preventing the rearward movement of said guide track during rearward movement of said pusher element.
8. The staple-ejecting cartridge recited in claim 7, wherein said guide track takes the form of a flexible toothed belt; wherein the staples are housed in and are guided by the notches defined between adjacent teeth; wherein a series of spaced notches are provided in the belt on the side thereof remote from said staples; wherein said means for preventing the rearward movement of said guide track takes the form of a flexible projection extending, when relaxed, into one of said spaced notches; and wherein said projection has a track abuttment face substantially perpendicular to the track and a sloping camming face remote from said abuttment face.
9. The staple-ejecting cartridge recited in claim 7, wherein said guide track takes the form of a flexible toothed belt; and wherein said means for preventing the rearward movement of said guide track takes the form of a resilient member mounted integral with said body, adapted to engage the teeth of said belt, thereby preventing the rearward movement of said belt, and adapted to be cammed out of the plane of said teeth during the advancement of said belt.
10. The staple-ejecting cartridge recited in claim 1, wherein said guide track, when fully loaded with staples, extends substantially the entire length of the elongated main body on the side thereof adjacent said pusher element; wherein said fully loaded guide track extends in the forward end of said main body from the side thereof adjacent the pusher element to the side remote therefrom; and wherein said fully loaded guide track extends a portion of the distance from the forward end of the main body to the rearward end thereof on the side of the main body remote from said pusher element.
11. The staple-ejecting cartridge recited in claim 10, wherein the side of the cartridge main body remote from said pusher element is transparent; wherein said transparent side is provided with a set of indicia; and wherein the alignment of the end of said guide track with said indicia is indicative of the number of staples remaining in said cartridge.
12. The staple-ejecting cartridge recited in claim 1, wherein the forward faCe of said pusher element is stepped outwardly and forwardly so as to maximize the effect of the pusher element in bending the staples around said anvil.
13. A cartridge adaptor for supporting a surgical staple-ejecting cartridge having a pusher element, and designed to be mounted on a skin-stapling instrument, the cartridge adaptor comprising: an elongated main body; mounting means at the rearward end of said elongated main body for removably attaching the main body to the skin-stapling instrument; an elongated substantially planar linkage slidably mounted in said main body for associating the skin-stapling instrument with the pusher element of the staple-ejecting cartridge; anvil means integral with said elongated main body at its forward end; and means in operative relationship with said cartridge for removably securing the surgical staple-ejecting cartridge to the cartridge adaptor in the region of said anvil.
14. The cartridge adaptor as recited in claim 13, and further comprising: a nose piece attached to said main body near the anvil thereof defining a portion of said means for securing the staple-ejecting cartridge; and a locking element attached to said main body near the rearward end thereof defining the remaining portion of the means for securing the staple-ejecting cartridge.
15. The cartridge adaptor as recited in claim 14, and further comprising: means integral with said nose piece for singly guiding the staples in said staple-ejecting cartridge out of the plane of said linkage and into another planar position adjacent to said anvil.
16. The cartridge adaptor recited in claim 15, wherein said means for guiding staples comprises a first set of ramps adapted to engage the cross-pieces of said staples; and a second set of ramps adapted to engage the legs of said staples; said first and said second set of ramps being spaced apart a predetermined distance so that the staple being transported from the plane of said linkage remains parallel to said linkage plane.
17. The cartridge adaptor recited in claim 14, wherein the mounting means defined in said nose piece is in the form of a recess adapted to accept the nose of said staple-ejecting cartridge; and wherein the engagement element comprises a projection adapted to engage a corresponding detent in said staple-ejecting cartridge.
18. The cartridge adaptor recited in claim 13, wherein said elongated linkage is provided, at its rearward end, with an opening for engaging the drive shaft of the skin-stapling instrument; wherein said elongated linkage is provided, at its forward end, with a projection for engaging a corresponding opening in the pusher element of the staple-ejecting cartridge; wherein said cartridge adaptor further includes a cover member and a mounting block between which is mounted said elongated linkage; and wherein said cover is slotted in order to allow for the reciprocation of the drive shaft of the skin-stapling instrument while engaging said elongated linkage.
19. A staple-ejecting cartridge adapted to be sterilized, packaged and mounted on a skin-stapling instrument, the cartridge comprising: a main body adapted to house a plurality of surgical staples and having a forward end, a rearward end, a bottom, and an adaptor engaging surface; a guide track mounted for movement in said main body for housing and guiding said staples; a plurality of contact surfaces spaced along said guide track, each for engaging a single staple and advancing same toward the forward end of said main body in response to forward movement of said guide track; a substantially planar pusher element having a major axis parallel to said adaptor engaging surface, and positioned between said adaptor engaging surface and said guide track; at least one downwardly projecting driving surface integral with said pusher element and adapted to extend, when said pusher element is relaxed, adjacent to said guide track, said at least one driving surface being positioned so as to align with the cross-pieces of said staples; cam means in operative relationship with said pusher element for changing the relative positions between said at least one downwardly projecting driving surface and said guide track during rearward movement of said pusher element so that said guide track is free from the effects of said at least one driving surface; and said main body defining a first opening near the junction between the forward end of the cartridge and the adaptor engaging surface for the expulsion of the staples from the main body in response to forward movement of the guide track.
20. The staple-ejecting cartridge recited in claim 19, wherein the forward face of said at least one downwardly projecting driving surface is substantially perpendicular to the plane of said guide track; and wherein said cam means is integral with said pusher element.
21. The staple-ejecting cartridge defined in claim 20, wherein each cam means takes the form of a linear surface extending downwardly and forwardly from said pusher element.
22. The staple-ejecting cartridge recited in claim 19, wherein there are two downwardly projecting driving surfaces; and wherein these surfaces are spaced apart a distance greater than the width of said guide track but less than the length of the cross-pieces of the staples.
23. The staple-ejecting cartridge recited in claim 22, wherein said pusher element and said driving surfaces are formed out of a single unitary material.
24. The staple-ejecting cartridge recited in claim 19, wherein the forward region of said pusher element is flexible; wherein said cam means is integral with the forward region of said pusher element; wherein during the rearward movement of said pusher element, the cam means contacts the cross-piece of one staple and cams said at least one downwardly projecting driving surface over said staple; and wherein said at least one downwardly projecting driving surface returns to the plane of the guide track after being cammed over said staple.
25. The staple-ejecting cartridge recited in claim 19, wherein the forward face of said pusher element is stepped outwardly and forwardly so as to maximize the effect of the pusher element in bending the staples around said anvil.
26. The staple-ejecting cartridge recited in claim 19, and further comprising: a staple guide path defined in said main body, one end of said guide path communicating with said first opening in the main body, and the other end of said guide path communicating with a second opening adjacent said first opening, said guide path substantially following the outline of said main body; and wherein said guide track and said staples are moveably housed in said guide path.
27. The staple-ejecting cartridge recited in claim 26, wherein all changes in direction of said guide path are smoothly developed.
28. The staple-ejecting cartridge recited in claim 19, and further comprising: a staple guide path defined within said main body, substantially following the outline of said main body; and wherein said guide track and said staples are moveably housed in said guide path.
29. The staple-ejecting cartridge recited in claim 28, wherein all changes in direction of said guide path are smoothly developed.
30. The staple-ejecting cartridge recited in claim 19, for mounting on a cartridge adaptor, said cartridge further comprising: means on said cartridge for mounting said cartridge on said cartridge adaptor.
31. The staple-ejecting cartridge recited in claim 30, wherein said cartridge is designed and adapted to be mounted on the cartridge adaptor with the body of the adaptor positioned adjacent said adaptor engaging surface; and wherein said pusher element of said cartridge is adapted to engage and be controlled by a linkage element in said cartridge adaptor.
32. The staple-ejecting cartridge recited in claim 31, wherein the staples expelled from said cartridge are adapted to enter a nose piece of said cartridge adaptor; and wherein the junction between the forward end of the cartridge And the adaptor engaging surface is in the form of a tongue-like projection adapted to engage a groove in said nose piece.
US3717294A 1970-12-14 1970-12-14 Cartridge and powering instrument for stapling skin and fascia Expired - Lifetime US3717294A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US9799570 true 1970-12-14 1970-12-14

Publications (1)

Publication Number Publication Date
US3717294A true US3717294A (en) 1973-02-20

Family

ID=22266113

Family Applications (1)

Application Number Title Priority Date Filing Date
US3717294A Expired - Lifetime US3717294A (en) 1970-12-14 1970-12-14 Cartridge and powering instrument for stapling skin and fascia

Country Status (3)

Country Link
US (1) US3717294A (en)
CA (1) CA998308A (en)
GB (1) GB1373227A (en)

Cited By (287)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3915367A (en) * 1973-08-10 1975-10-28 Duo Fast Corp Fastener strip and strip feeding apparatus
US4127227A (en) * 1976-10-08 1978-11-28 United States Surgical Corporation Wide fascia staple cartridge
WO1980000230A1 (en) * 1978-07-17 1980-02-21 United States Surgical Corp Manually powered surgical stapling instrument
US4196836A (en) * 1978-02-14 1980-04-08 Senco Products Inc. Surgical stapling instrument
US4228895A (en) * 1979-04-02 1980-10-21 American Cyanamid Company Magazine tape containing a plurality of hemostatic clips
US4331277A (en) * 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
US4349028A (en) * 1980-10-03 1982-09-14 United States Surgical Corporation Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence
US4367837A (en) * 1980-04-25 1983-01-11 Manino Anthony P Tape magazine feed apparatus for head driven fasteners
US4407286A (en) * 1980-08-25 1983-10-04 United States Surgical Corporation Surgical staples
US4422567A (en) * 1981-11-17 1983-12-27 Haynes Taylor H Medical suturing device
DE3334858A1 (en) * 1982-09-28 1984-03-29 Senco Products A surgical clamp instrument
EP0130784A2 (en) * 1983-06-28 1985-01-09 Minnesota Mining And Manufacturing Company Bone stapler
US4500025A (en) * 1983-07-18 1985-02-19 Minnesota Mining And Manufacturing Company Bone stapler
US4938408A (en) * 1988-01-15 1990-07-03 Ethicon, Inc. Surgical stapler safety and sequencing mechanisms
US5236435A (en) * 1991-07-22 1993-08-17 Sewell Jr Frank Laparoscopic surgical staple system
US5312023A (en) * 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5326013A (en) * 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5364001A (en) * 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US5397046A (en) * 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5431322A (en) * 1991-10-18 1995-07-11 United States Surgical Corporation Self contained gas powered surgical apparatus
US5443197A (en) * 1993-06-16 1995-08-22 United States Surgical Corporation Locking mechanism for a skin stapler cartridge
US5456400A (en) * 1993-04-22 1995-10-10 United States Surgical Corporation Apparatus and clip for fastening body tissue
US5478003A (en) * 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5487499A (en) * 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5636780A (en) * 1991-10-18 1997-06-10 United States Surgical Corporation Self contained gas powered surgical apparatus
US5711472A (en) * 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5758665A (en) * 1996-11-14 1998-06-02 Suval; William D. Method for treating varicose veins
US5792168A (en) * 1996-11-14 1998-08-11 Suval; William D. Apparatus for treating varicose veins
US5862972A (en) * 1993-10-14 1999-01-26 United States Surgical Corporation Gas powered apparatus for applying surgical fasteners to body tissue
US6250532B1 (en) * 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US6318616B1 (en) 1998-10-23 2001-11-20 United States Surgical Surgical fastener applier
US20030125717A1 (en) * 2001-12-04 2003-07-03 Whitman Michael P. System and method for calibrating a surgical instrument
US20030130677A1 (en) * 2002-01-08 2003-07-10 Whitman Michael P. Surgical device
US6655571B2 (en) * 2000-03-10 2003-12-02 Kotec's Co., Ltd. Fastening element attaching device
US20030222118A1 (en) * 2002-05-28 2003-12-04 Temedco, Ltd. Surgical stapling device
US20040094597A1 (en) * 2002-06-14 2004-05-20 Whitman Michael P. Surgical device
US20040111081A1 (en) * 1999-06-02 2004-06-10 Whitman Michael P. Electro-mechanical surgical device
US20040149802A1 (en) * 1999-07-12 2004-08-05 Whitman Michael P. Expanding parallel jaw device for use with an electromechanical driver device
US20040153124A1 (en) * 1999-06-02 2004-08-05 Whitman Michael P. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US20060122635A1 (en) * 2004-12-03 2006-06-08 Naegeli Chad D Storage system for bioabsorbable fasteners
US20070045379A1 (en) * 2005-08-31 2007-03-01 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070073340A1 (en) * 2005-09-21 2007-03-29 Shelton Frederick E Iv Surgical stapling instruments with collapsible features for controlling staple height
US20070102453A1 (en) * 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US20070102452A1 (en) * 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US20070102472A1 (en) * 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US20070170225A1 (en) * 2005-11-10 2007-07-26 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US20070175957A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US20070175961A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Electro-mechanical surgical cutting and fastening instrument having a rotary firing and closure system with parallel closure and anvil alignment components
US20070175956A1 (en) * 2006-01-31 2007-08-02 Swayze Jeffrey S Electronic lockouts and surgical instrument including same
US20070175953A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20070175959A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Motor-driven surgical cutting and fastening instrument with articulatable end effector
US20070175949A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical instrument having a feedback system
US20070175950A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US20070175955A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US20070175960A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical instrument having a removable battery
US20070194079A1 (en) * 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US20070221701A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US20070295780A1 (en) * 2006-06-27 2007-12-27 Shelton Frederick E Manually driven surgical cutting and fastening instrument
US20080029573A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with replaceable power sources
US20080029574A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US20080029576A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080045978A1 (en) * 2000-10-19 2008-02-21 Kuhns Jesse J Method For Delivering a Plurality of Fasteners
US20080078807A1 (en) * 2006-09-29 2008-04-03 Hess Christopher J Connected surgical staples and stapling instruments for deploying the same
US20080135600A1 (en) * 2004-09-15 2008-06-12 Max Co., Ltd. Medical Stapler
US20080164296A1 (en) * 2007-01-10 2008-07-10 Shelton Frederick E Prevention of cartridge reuse in a surgical instrument
US20080167672A1 (en) * 2007-01-10 2008-07-10 Giordano James R Surgical instrument with wireless communication between control unit and remote sensor
US20080169329A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Curved end effector for a surgical stapling device
US20080169328A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US20080210738A1 (en) * 2005-08-31 2008-09-04 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20080237298A1 (en) * 2007-03-28 2008-10-02 Schall Christopher J Surgical stapling and cutting instrument with manually retractable firing member
US7438209B1 (en) 2007-06-29 2008-10-21 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having a releasable staple-forming pocket
US20080308601A1 (en) * 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instrument with improved anvil opening features
US20080314956A1 (en) * 2007-06-22 2008-12-25 Boudreaux Chad P Surgical stapling instrument with an artculating end effector
US20080314955A1 (en) * 2007-06-22 2008-12-25 Boudreaux Chad P Surgical stapling instruments
US20080314962A1 (en) * 2007-06-22 2008-12-25 Boudreaux Chad P Surgical stapling instrument with an anti-back up mechanism
US20080314954A1 (en) * 2007-06-22 2008-12-25 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US20090001121A1 (en) * 2007-06-29 2009-01-01 Hess Christopher J Surgical staple having an expandable portion
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US20090065552A1 (en) * 2007-09-06 2009-03-12 Cardica, Inc. Endocutter With Staple Feed
US20090200355A1 (en) * 2008-02-13 2009-08-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US20090206130A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US20090206135A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US20090206133A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
US20090206123A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US20090206128A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US20090206144A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US20090206124A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US20090206131A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US20090206140A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery,Inc. End effectors for a surgical cutting and stapling instrument
US20090206137A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US20090209946A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US20090206138A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US7597229B2 (en) 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US20100072256A1 (en) * 2008-09-19 2010-03-25 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US20100089974A1 (en) * 2008-10-15 2010-04-15 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US20100133317A1 (en) * 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US20100155453A1 (en) * 1999-07-28 2010-06-24 Cardica, Inc. Surgical Staples Frangibly Connected to Staple Holding Strip
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US20100181364A1 (en) * 2004-07-28 2010-07-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US20100191332A1 (en) * 2009-01-08 2010-07-29 Euteneuer Charles L Implantable Tendon Protection Systems and Related Kits and Methods
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US20100193566A1 (en) * 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US20100193567A1 (en) * 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US20100213241A1 (en) * 2008-09-19 2010-08-26 Ethicon Endo-Surgery, Inc. Staple cartridge
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US20100237132A1 (en) * 2009-03-23 2010-09-23 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US20100241227A1 (en) * 2009-03-20 2010-09-23 Euteneuer Charles L Medical device delivery system and method
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US20100301095A1 (en) * 2007-01-10 2010-12-02 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20100312275A1 (en) * 2009-06-04 2010-12-09 Euteneuer Charles L Methods and apparatus for fixing sheet-like materials to a target tissue
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US20110006103A1 (en) * 2009-02-06 2011-01-13 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US20110068145A1 (en) * 2008-02-13 2011-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7918230B2 (en) 2007-09-21 2011-04-05 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US20110084113A1 (en) * 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US20110114698A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US20110114700A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US20110114699A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US20110118761A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery Circular stapler introducer with rigid distal end portion
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7963433B2 (en) 2007-09-21 2011-06-21 Tyco Healthcare Group Lp Surgical device having multiple drivers
US20110155780A1 (en) * 2009-12-30 2011-06-30 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US20110155784A1 (en) * 2006-01-31 2011-06-30 Shelton Iv Frederick E Accessing Data Stored In A Memory Of Surgical Instrument
US20110163147A1 (en) * 2010-01-07 2011-07-07 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US20110224702A1 (en) * 2010-03-11 2011-09-15 Craig Van Kampen Tendon repair implant and method of arthroscopic implantation
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8070036B1 (en) 2007-09-06 2011-12-06 Cardica, Inc True multi-fire surgical stapler configured to fire staples of different sizes
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8196796B2 (en) 2007-06-04 2012-06-12 Ethicon Endo-Surgery, Inc. Shaft based rotary drive system for surgical instruments
US20120175401A1 (en) * 2008-03-14 2012-07-12 Alan Bachman Hernia stapler
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8371491B2 (en) 2008-02-15 2013-02-12 Ethicon Endo-Surgery, Inc. Surgical end effector having buttress retention features
US8393514B2 (en) 2010-09-30 2013-03-12 Ethicon Endo-Surgery, Inc. Selectively orientable implantable fastener cartridge
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8403956B1 (en) 2007-09-06 2013-03-26 Cardica, Inc. Multiple-use surgical stapler
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8418908B1 (en) 2011-10-26 2013-04-16 Covidien Lp Staple feeding and forming apparatus
US8424740B2 (en) 2007-06-04 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8439246B1 (en) 2010-07-20 2013-05-14 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453914B2 (en) 2009-12-24 2013-06-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8479969B2 (en) 2007-01-10 2013-07-09 Ethicon Endo-Surgery, Inc. Drive interface for operably coupling a manipulatable surgical tool to a robot
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8573461B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with cam-driven staple deployment arrangements
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8602288B2 (en) 2008-09-23 2013-12-10 Ethicon Endo-Surgery. Inc. Robotically-controlled motorized surgical end effector system with rotary actuated closure systems having variable actuation speeds
US8602287B2 (en) 2008-09-23 2013-12-10 Ethicon Endo-Surgery, Inc. Motor driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8616431B2 (en) 2007-06-04 2013-12-31 Ethicon Endo-Surgery, Inc. Shiftable drive interface for robotically-controlled surgical tool
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8631992B1 (en) 2009-05-03 2014-01-21 Cardica, Inc. Feeder belt with padded staples for true multi-fire surgical stapler
US8631990B1 (en) 2011-04-25 2014-01-21 Cardica, Inc. Staple trap for surgical stapler
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8636189B1 (en) 2011-04-19 2014-01-28 Cardica, Inc. Active wedge for surgical stapler
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8740038B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a releasable portion
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US8783541B2 (en) 2003-05-20 2014-07-22 Frederick E. Shelton, IV Robotically-controlled surgical end effector system
US8789739B2 (en) 2011-09-06 2014-07-29 Ethicon Endo-Surgery, Inc. Continuous stapling instrument
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8789741B2 (en) 2010-09-24 2014-07-29 Ethicon Endo-Surgery, Inc. Surgical instrument with trigger assembly for generating multiple actuation motions
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8844789B2 (en) 2006-01-31 2014-09-30 Ethicon Endo-Surgery, Inc. Automated end effector component reloading system for use with a robotic system
US8864780B2 (en) 2011-02-15 2014-10-21 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US8931679B2 (en) 2011-10-17 2015-01-13 Covidien Lp Surgical stapling apparatus
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9028519B2 (en) 2008-09-23 2015-05-12 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9033201B2 (en) 2011-02-15 2015-05-19 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US9084600B1 (en) 2012-02-17 2015-07-21 Cardica, Inc. Anvil-side staple trap
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9113977B2 (en) 2011-02-15 2015-08-25 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9125650B2 (en) 2011-12-19 2015-09-08 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US9155536B1 (en) 2011-04-26 2015-10-13 Cardica, Inc. Circular stapler
US9168039B1 (en) 2007-09-06 2015-10-27 Cardica, Inc. Surgical stapler with staples of different sizes
US9179961B2 (en) 2009-06-04 2015-11-10 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US9198751B2 (en) 2011-02-15 2015-12-01 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials in surgery
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9204940B2 (en) 2011-02-15 2015-12-08 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US9271726B2 (en) 2011-12-19 2016-03-01 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US20160058440A1 (en) * 2014-09-02 2016-03-03 Ethicon Endo-Surgery, Inc. Devices and Methods for Removably Coupling a Cartridge to an End Effector of a Surgical Device
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9320519B1 (en) 2011-04-26 2016-04-26 Cardica, Inc. Single-trigger clamping and firing of surgical stapler
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9332987B2 (en) 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
US9351727B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Drive train control arrangements for modular surgical instruments
US9358005B2 (en) 2010-09-30 2016-06-07 Ethicon Endo-Surgery, Llc End effector layer including holding features
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US9370356B2 (en) 2011-12-19 2016-06-21 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US9408605B1 (en) 2012-07-12 2016-08-09 Cardica, Inc. Single-trigger clamping and firing of surgical stapler
US9554796B2 (en) 2012-07-18 2017-01-31 Covidien Lp Multi-fire surgical stapling apparatus including safety lockout and visual indicator
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US9592053B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc Staple cartridge comprising multiple regions
US9597075B2 (en) 2010-07-30 2017-03-21 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
US9655615B2 (en) 2011-04-19 2017-05-23 Dextera Surgical Inc. Active wedge and I-beam for surgical stapler
US9668734B2 (en) 2014-05-16 2017-06-06 Covidien Lp In-situ loaded stapler
US9690362B2 (en) 2014-03-26 2017-06-27 Ethicon Llc Surgical instrument control circuit having a safety processor
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
US9724098B2 (en) 2012-03-28 2017-08-08 Ethicon Endo-Surgery, Llc Staple cartridge comprising an implantable layer
US9724094B2 (en) 2014-09-05 2017-08-08 Ethicon Llc Adjunct with integrated sensors to quantify tissue compression
US9730695B2 (en) 2014-03-26 2017-08-15 Ethicon Endo-Surgery, Llc Power management through segmented circuit
US9737301B2 (en) 2014-09-05 2017-08-22 Ethicon Llc Monitoring device degradation based on component evaluation
US9743929B2 (en) 2014-03-26 2017-08-29 Ethicon Llc Modular powered surgical instrument with detachable shaft assemblies
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US9788835B2 (en) 2014-09-02 2017-10-17 Ethicon Llc Devices and methods for facilitating ejection of surgical fasteners from cartridges
US9788836B2 (en) 2014-09-05 2017-10-17 Ethicon Llc Multiple motor control for powered medical device
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9795382B2 (en) 2005-08-31 2017-10-24 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US9814462B2 (en) 2010-09-30 2017-11-14 Ethicon Llc Assembly for fastening tissue comprising a compressible layer
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9826978B2 (en) 2010-09-30 2017-11-28 Ethicon Llc End effectors with same side closure and firing motions
US9833241B2 (en) 2014-04-16 2017-12-05 Ethicon Llc Surgical fastener cartridges with driver stabilizing arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US9877723B2 (en) 2016-05-05 2018-01-30 Ethicon Llc Surgical stapling assembly comprising a selector arrangement

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4485953A (en) * 1982-04-05 1984-12-04 Senco Products, Inc. Surgical stapling instrument and cartridge therefor

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2765468A (en) * 1953-09-09 1956-10-09 Aircraft Marine Prod Inc Feeding mechanism for automatic terminal applying machine
US3009156A (en) * 1956-05-18 1961-11-21 Inv S Man Corp Industrial tacker
US3009618A (en) * 1956-01-27 1961-11-21 Inv S Man Corp Staple element cartridge
US3099837A (en) * 1959-09-17 1963-08-06 Internat Staple And Machine Co Pneumatic driver
US3156376A (en) * 1963-02-08 1964-11-10 Lasting Walter Semi-automatic fastening device dispenser

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2765468A (en) * 1953-09-09 1956-10-09 Aircraft Marine Prod Inc Feeding mechanism for automatic terminal applying machine
US3009618A (en) * 1956-01-27 1961-11-21 Inv S Man Corp Staple element cartridge
US3009156A (en) * 1956-05-18 1961-11-21 Inv S Man Corp Industrial tacker
US3099837A (en) * 1959-09-17 1963-08-06 Internat Staple And Machine Co Pneumatic driver
US3156376A (en) * 1963-02-08 1964-11-10 Lasting Walter Semi-automatic fastening device dispenser

Cited By (749)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3915367A (en) * 1973-08-10 1975-10-28 Duo Fast Corp Fastener strip and strip feeding apparatus
US4127227A (en) * 1976-10-08 1978-11-28 United States Surgical Corporation Wide fascia staple cartridge
US4196836A (en) * 1978-02-14 1980-04-08 Senco Products Inc. Surgical stapling instrument
WO1980000230A1 (en) * 1978-07-17 1980-02-21 United States Surgical Corp Manually powered surgical stapling instrument
US4204623A (en) * 1978-07-17 1980-05-27 United States Surgical Corporation Manually powered surgical stapling instrument
US4228895A (en) * 1979-04-02 1980-10-21 American Cyanamid Company Magazine tape containing a plurality of hemostatic clips
US4367837A (en) * 1980-04-25 1983-01-11 Manino Anthony P Tape magazine feed apparatus for head driven fasteners
DE3148619C2 (en) * 1980-05-23 1985-09-19 United States Surgical Corp., Norwalk, Conn., Us
US4331277A (en) * 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
US4407286A (en) * 1980-08-25 1983-10-04 United States Surgical Corporation Surgical staples
US4349028A (en) * 1980-10-03 1982-09-14 United States Surgical Corporation Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence
US4422567A (en) * 1981-11-17 1983-12-27 Haynes Taylor H Medical suturing device
DE3334858A1 (en) * 1982-09-28 1984-03-29 Senco Products A surgical clamp instrument
US4540110A (en) * 1983-06-28 1985-09-10 Minnesota Mining And Manufacturing Company Bone stapler
EP0130784A2 (en) * 1983-06-28 1985-01-09 Minnesota Mining And Manufacturing Company Bone stapler
EP0130784A3 (en) * 1983-06-28 1988-08-10 Minnesota Mining And Manufacturing Company Bone stapler
US4500025A (en) * 1983-07-18 1985-02-19 Minnesota Mining And Manufacturing Company Bone stapler
US4938408A (en) * 1988-01-15 1990-07-03 Ethicon, Inc. Surgical stapler safety and sequencing mechanisms
US4951861A (en) * 1988-01-15 1990-08-28 Ethicon, Inc. Surgical stapler pressure regulator
US4964559A (en) * 1988-01-15 1990-10-23 Ethicon, Inc. Pneumatic surgical stapler connectors
US5018657A (en) * 1988-01-15 1991-05-28 Ethicon, Inc. Pneumatically actuated surgical stapler head
US5236435A (en) * 1991-07-22 1993-08-17 Sewell Jr Frank Laparoscopic surgical staple system
US20090065551A1 (en) * 1991-10-18 2009-03-12 United States Surgical Corporation Surgical stapling apparatus
US5326013A (en) * 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5645209A (en) * 1991-10-18 1997-07-08 United States Surgical Corporation Self contained gas powered surgical apparatus
US5397046A (en) * 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5431322A (en) * 1991-10-18 1995-07-11 United States Surgical Corporation Self contained gas powered surgical apparatus
US7891533B2 (en) 1991-10-18 2011-02-22 Tyco Healthcare Group Lp Surgical stapling apparatus
US7296724B2 (en) 1991-10-18 2007-11-20 United States Surgical Corporation Surgical stapling apparatus
US5456401A (en) * 1991-10-18 1995-10-10 United States Surgical Corporation Surgical apparatus having articulation mechanism
US5472132A (en) * 1991-10-18 1995-12-05 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5478003A (en) * 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5482197A (en) * 1991-10-18 1996-01-09 United States Surgical Corporation Articulating surgical cartridge assembly
US7861907B2 (en) 1991-10-18 2011-01-04 Tyco Healthcare Group Lp Surgical stapling apparatus
US5312023A (en) * 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5636780A (en) * 1991-10-18 1997-06-10 United States Surgical Corporation Self contained gas powered surgical apparatus
US6250532B1 (en) * 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US5647526A (en) * 1991-10-18 1997-07-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US7543731B2 (en) 1991-10-18 2009-06-09 United States Surgical Corporation Surgical stapling apparatus
US5711472A (en) * 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5364001A (en) * 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US7464848B2 (en) 1991-10-18 2008-12-16 United States Surgical Corporation Surgical stapling apparatus
US5584425A (en) * 1991-10-18 1996-12-17 United States Surgical Corporation Lockout mechanism for surgical apparatus
US20090065550A1 (en) * 1991-10-18 2009-03-12 United States Surgical Corporation Surgical stapling apparatus
US5456400A (en) * 1993-04-22 1995-10-10 United States Surgical Corporation Apparatus and clip for fastening body tissue
US5443197A (en) * 1993-06-16 1995-08-22 United States Surgical Corporation Locking mechanism for a skin stapler cartridge
EP0872213A2 (en) 1993-10-01 1998-10-21 United States Surgical Corporation Apparatus with anvil for applying surgical fasteners
EP1238634A2 (en) 1993-10-01 2002-09-11 United States Surgical Corporation Self contained gas powered surgical apparatus
US5709334A (en) * 1993-10-08 1998-01-20 United States Surgical Corporation Surgical apparatus for applying surgical fasteners
US5487499A (en) * 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5918791A (en) * 1993-10-08 1999-07-06 United States Surgical Corporation Surgical apparatus for applying surgical fasteners
US5862972A (en) * 1993-10-14 1999-01-26 United States Surgical Corporation Gas powered apparatus for applying surgical fasteners to body tissue
US5792168A (en) * 1996-11-14 1998-08-11 Suval; William D. Apparatus for treating varicose veins
US5758665A (en) * 1996-11-14 1998-06-02 Suval; William D. Method for treating varicose veins
US6318616B1 (en) 1998-10-23 2001-11-20 United States Surgical Surgical fastener applier
US7758613B2 (en) 1999-06-02 2010-07-20 Power Medical Interventions, Llc Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US20040153124A1 (en) * 1999-06-02 2004-08-05 Whitman Michael P. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US8628467B2 (en) 1999-06-02 2014-01-14 Covidien Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US20100276471A1 (en) * 1999-06-02 2010-11-04 Power Medical Interventions, Llc Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7077856B2 (en) 1999-06-02 2006-07-18 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US9247940B2 (en) 1999-06-02 2016-02-02 Covidien Lp Surgical cutting and stapling device
US9241716B2 (en) 1999-06-02 2016-01-26 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US20070055304A1 (en) * 1999-06-02 2007-03-08 Whitman Michael P Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US9078654B2 (en) 1999-06-02 2015-07-14 Covidien Lp Surgical device
US20040111081A1 (en) * 1999-06-02 2004-06-10 Whitman Michael P. Electro-mechanical surgical device
US9782172B2 (en) 1999-06-02 2017-10-10 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US9033868B2 (en) 1999-06-02 2015-05-19 Covidien Lp Couplings for interconnecting components of an electro-mechanical surgical device
US9662109B2 (en) 1999-06-02 2017-05-30 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US8016858B2 (en) 1999-06-02 2011-09-13 Tyco Healthcare Group Ip Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US8690913B2 (en) 1999-06-02 2014-04-08 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US20110108606A1 (en) * 1999-07-12 2011-05-12 Whitman Michael P Expanding parallel jaw device for use with an electromechanical driver device
US8056791B2 (en) 1999-07-12 2011-11-15 Tyco Healthcare Group Lp Expanding parallel jaw device for use with an electromechanical driver device
US8186559B1 (en) 1999-07-12 2012-05-29 Tyco Healthcare Group Lp Expanding parallel jaw device for use with an electromechanical driver device
US20040149802A1 (en) * 1999-07-12 2004-08-05 Whitman Michael P. Expanding parallel jaw device for use with an electromechanical driver device
US7537602B2 (en) 1999-07-12 2009-05-26 Power Medical Interventions, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US20070075116A1 (en) * 1999-07-12 2007-04-05 Whitman Michael P Expanding parallel jaw device for use with an electromechanical driver device
US7845538B2 (en) 1999-07-12 2010-12-07 Power Medical Interventions, Llc Expanding parallel jaw device for use with an electromechanical driver device
US7114642B2 (en) 1999-07-12 2006-10-03 Power Medical Interventions, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US8459523B2 (en) 1999-07-12 2013-06-11 Covidien Lp Expanding parallel jaw device for use with an electromechanical driver device
US8118208B2 (en) 1999-07-12 2012-02-21 Tyco Healthcare Group Lp Expanding parallel jaw device for use with an electromechanical driver device
US20100155453A1 (en) * 1999-07-28 2010-06-24 Cardica, Inc. Surgical Staples Frangibly Connected to Staple Holding Strip
US6655571B2 (en) * 2000-03-10 2003-12-02 Kotec's Co., Ltd. Fastening element attaching device
US7905893B2 (en) 2000-10-19 2011-03-15 Ethicon Endo-Surgery, Inc. Method for delivering a plurality of fasteners
US20080243143A1 (en) * 2000-10-19 2008-10-02 Kuhns Jesse J Surgical instrument having a fastener delivery mechanism
US7485124B2 (en) 2000-10-19 2009-02-03 Ethicon Endo-Surgery, Inc. Surgical instrument having a fastener delivery mechanism
US20080045978A1 (en) * 2000-10-19 2008-02-21 Kuhns Jesse J Method For Delivering a Plurality of Fasteners
US8021373B2 (en) 2001-11-30 2011-09-20 Tyco Healthcare Group Lp Surgical device
US8740932B2 (en) 2001-11-30 2014-06-03 Covidien Lp Surgical device
US8512359B2 (en) 2001-11-30 2013-08-20 Covidien Lp Surgical device
US20100249816A1 (en) * 2001-11-30 2010-09-30 Power Medical Interventions Llc Surgical device
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US20030125717A1 (en) * 2001-12-04 2003-07-03 Whitman Michael P. System and method for calibrating a surgical instrument
US9743927B2 (en) 2001-12-04 2017-08-29 Covidien Lp System and method for calibrating a surgical instrument
US7803151B2 (en) 2001-12-04 2010-09-28 Power Medical Interventions, Llc System and method for calibrating a surgical instrument
US20100324541A1 (en) * 2001-12-04 2010-12-23 Power Medical Interventions, Llc System and method for calibrating a surgical instrument
US8858589B2 (en) 2002-01-08 2014-10-14 Covidien Lp Surgical device
US20030130677A1 (en) * 2002-01-08 2003-07-10 Whitman Michael P. Surgical device
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US8518074B2 (en) 2002-01-08 2013-08-27 Covidien Lp Surgical device
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US20030222118A1 (en) * 2002-05-28 2003-12-04 Temedco, Ltd. Surgical stapling device
US7059509B2 (en) 2002-05-28 2006-06-13 Phillip Clay Brown Surgical stapling device
US20060097027A1 (en) * 2002-05-28 2006-05-11 Temedco, Ltd. Surgical stapling device
US20100219227A1 (en) * 2002-06-14 2010-09-02 Power Medical Interventions, Llc Surgical device
US20040094597A1 (en) * 2002-06-14 2004-05-20 Whitman Michael P. Surgical device
US7743960B2 (en) 2002-06-14 2010-06-29 Power Medical Interventions, Llc Surgical device
US8056786B2 (en) 2002-06-14 2011-11-15 Tyco Healthcare Group Lp Surgical device
US8540733B2 (en) 2002-06-14 2013-09-24 Covidien Lp Surgical method and device having a first jaw and a second jaw in opposed correspondence for clamping, cutting, and stapling tissue
US9861362B2 (en) 2002-06-14 2018-01-09 Covidien Lp Surgical device
US8783541B2 (en) 2003-05-20 2014-07-22 Frederick E. Shelton, IV Robotically-controlled surgical end effector system
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US9844379B2 (en) 2004-07-28 2017-12-19 Ethicon Llc Surgical stapling instrument having a clearanced opening
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US20100181364A1 (en) * 2004-07-28 2010-07-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US9510830B2 (en) 2004-07-28 2016-12-06 Ethicon Endo-Surgery, Llc Staple cartridge
US9585663B2 (en) 2004-07-28 2017-03-07 Ethicon Endo-Surgery, Llc Surgical stapling instrument configured to apply a compressive pressure to tissue
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US9282966B2 (en) 2004-07-28 2016-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US9737302B2 (en) 2004-07-28 2017-08-22 Ethicon Llc Surgical stapling instrument having a restraining member
US8517244B2 (en) 2004-07-28 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US9603991B2 (en) 2004-07-28 2017-03-28 Ethicon Endo-Surgery, Llc Surgical stapling instrument having a medical substance dispenser
US9737303B2 (en) 2004-07-28 2017-08-22 Ethicon Llc Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US20080135600A1 (en) * 2004-09-15 2008-06-12 Max Co., Ltd. Medical Stapler
US20060122635A1 (en) * 2004-12-03 2006-06-08 Naegeli Chad D Storage system for bioabsorbable fasteners
US8567656B2 (en) 2005-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US9592052B2 (en) 2005-08-31 2017-03-14 Ethicon Endo-Surgery, Llc Stapling assembly for forming different formed staple heights
US20070194080A1 (en) * 2005-08-31 2007-08-23 Swayze Jeffrey S Surgical stapling device with staple driver that supports multiple wire diameter staples
US20070194079A1 (en) * 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US20080210738A1 (en) * 2005-08-31 2008-09-04 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8636187B2 (en) 2005-08-31 2014-01-28 Ethicon Endo-Surgery, Inc. Surgical stapling systems that produce formed staples having different lengths
US8317070B2 (en) 2005-08-31 2012-11-27 Ethicon Endo-Surgery, Inc. Surgical stapling devices that produce formed staples having different lengths
US9326768B2 (en) 2005-08-31 2016-05-03 Ethicon Endo-Surgery, Llc Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US9848873B2 (en) 2005-08-31 2017-12-26 Ethicon Llc Fastener cartridge assembly comprising a driver and staple cavity arrangement
US9795382B2 (en) 2005-08-31 2017-10-24 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US20070045379A1 (en) * 2005-08-31 2007-03-01 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20100127042A1 (en) * 2005-08-31 2010-05-27 Shelton Iv Frederick E Staple Cartridges for Forming Staples Having Differing Formed Staple Heights.
US9839427B2 (en) 2005-08-31 2017-12-12 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and a staple driver arrangement
US9307988B2 (en) 2005-08-31 2016-04-12 Ethicon Endo-Surgery, Llc Staple cartridges for forming staples having differing formed staple heights
US9844373B2 (en) 2005-08-31 2017-12-19 Ethicon Llc Fastener cartridge assembly comprising a driver row arrangement
US9561032B2 (en) 2005-08-31 2017-02-07 Ethicon Endo-Surgery, Llc Staple cartridge comprising a staple driver arrangement
US8464923B2 (en) 2005-08-31 2013-06-18 Ethicon Endo-Surgery, Inc. Surgical stapling devices for forming staples with different formed heights
US7472815B2 (en) 2005-09-21 2009-01-06 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with collapsible features for controlling staple height
US7467740B2 (en) 2005-09-21 2008-12-23 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights
US20070073340A1 (en) * 2005-09-21 2007-03-29 Shelton Frederick E Iv Surgical stapling instruments with collapsible features for controlling staple height
US20070083234A1 (en) * 2005-09-21 2007-04-12 Shelton Frederick E Iv Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights
US20070102472A1 (en) * 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7607557B2 (en) 2005-11-04 2009-10-27 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US20100127041A1 (en) * 2005-11-04 2010-05-27 Morgan Jerome R Surgical Stapling Instruments Structured for Delivery of Medical Agents
US20070102453A1 (en) * 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US20070102452A1 (en) * 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US20070170225A1 (en) * 2005-11-10 2007-07-26 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US9113874B2 (en) 2006-01-31 2015-08-25 Ethicon Endo-Surgery, Inc. Surgical instrument system
US9370358B2 (en) 2006-01-31 2016-06-21 Ethicon Endo-Surgery, Llc Motor-driven surgical cutting and fastening instrument with tactile position feedback
US9439649B2 (en) 2006-01-31 2016-09-13 Ethicon Endo-Surgery, Llc Surgical instrument having force feedback capabilities
US20070175957A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US9289225B2 (en) 2006-01-31 2016-03-22 Ethicon Endo-Surgery, Llc Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US20070175961A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Electro-mechanical surgical cutting and fastening instrument having a rotary firing and closure system with parallel closure and anvil alignment components
US20070175956A1 (en) * 2006-01-31 2007-08-02 Swayze Jeffrey S Electronic lockouts and surgical instrument including same
US9451958B2 (en) 2006-01-31 2016-09-27 Ethicon Endo-Surgery, Llc Surgical instrument with firing actuator lockout
US8157153B2 (en) 2006-01-31 2012-04-17 Ethicon Endo-Surgery, Inc. Surgical instrument with force-feedback capabilities
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US9517068B2 (en) 2006-01-31 2016-12-13 Ethicon Endo-Surgery, Llc Surgical instrument with automatically-returned firing member
US8167185B2 (en) 2006-01-31 2012-05-01 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8172124B2 (en) 2006-01-31 2012-05-08 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20110155784A1 (en) * 2006-01-31 2011-06-30 Shelton Iv Frederick E Accessing Data Stored In A Memory Of Surgical Instrument
US8844789B2 (en) 2006-01-31 2014-09-30 Ethicon Endo-Surgery, Inc. Automated end effector component reloading system for use with a robotic system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7721934B2 (en) 2006-01-31 2010-05-25 Ethicon Endo-Surgery, Inc. Articulatable drive shaft arrangements for surgical cutting and fastening instruments
US8820605B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instruments
US20070175953A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Motor-driven surgical cutting and fastening instrument with mechanical closure system
US9320520B2 (en) 2006-01-31 2016-04-26 Ethicon Endo-Surgery, Inc. Surgical instrument system
US9326770B2 (en) 2006-01-31 2016-05-03 Ethicon Endo-Surgery, Llc Surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20070175959A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US20070175949A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical instrument having a feedback system
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US20070175950A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8292155B2 (en) 2006-01-31 2012-10-23 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with tactile position feedback
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8752747B2 (en) 2006-01-31 2014-06-17 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20070175955A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US20070175960A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical instrument having a removable battery
US8746529B2 (en) 2006-01-31 2014-06-10 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US9743928B2 (en) 2006-01-31 2017-08-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US20070233053A1 (en) * 2006-01-31 2007-10-04 Ethicon Endo-Surgery, Inc. Articulatable drive shaft arrangements for surgical cutting and fastening instruments
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US9326769B2 (en) 2006-01-31 2016-05-03 Ethicon Endo-Surgery, Llc Surgical instrument
US9492167B2 (en) 2006-03-23 2016-11-15 Ethicon Endo-Surgery, Llc Articulatable surgical device with rotary driven cutting member
US9149274B2 (en) 2006-03-23 2015-10-06 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US9301759B2 (en) 2006-03-23 2016-04-05 Ethicon Endo-Surgery, Llc Robotically-controlled surgical instrument with selectively articulatable end effector
US20110144430A1 (en) * 2006-03-23 2011-06-16 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8911471B2 (en) 2006-03-23 2014-12-16 Ethicon Endo-Surgery, Inc. Articulatable surgical device
US9402626B2 (en) 2006-03-23 2016-08-02 Ethicon Endo-Surgery, Llc Rotary actuatable surgical fastener and cutter
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US20070221701A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US9320521B2 (en) 2006-06-27 2016-04-26 Ethicon Endo-Surgery, Llc Surgical instrument
US20070295780A1 (en) * 2006-06-27 2007-12-27 Shelton Frederick E Manually driven surgical cutting and fastening instrument
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US20080029575A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Surgical cutting and fastening instrument with distally mounted pneumatically powered rotary drive member
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080029570A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with improved volume storage
US7448525B2 (en) 2006-08-02 2008-11-11 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus
US20080029573A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with replaceable power sources
US20080029576A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US7431189B2 (en) 2006-08-02 2008-10-07 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion
US8631987B2 (en) 2006-08-02 2014-01-21 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080029574A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US7441684B2 (en) 2006-08-02 2008-10-28 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features
US20080029572A1 (en) * 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion
US20080078804A1 (en) * 2006-09-29 2008-04-03 Shelton Frederick E Surgical cutting and stapling instrument with self adjusting anvil
US8365976B2 (en) 2006-09-29 2013-02-05 Ethicon Endo-Surgery, Inc. Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same
US8720766B2 (en) 2006-09-29 2014-05-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments and staples
US7966799B2 (en) 2006-09-29 2011-06-28 Ethicon Endo-Surgery, Inc. Method of manufacturing staples
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
US8499993B2 (en) 2006-09-29 2013-08-06 Ethicon Endo-Surgery, Inc. Surgical staple cartridge
US8220690B2 (en) 2006-09-29 2012-07-17 Ethicon Endo-Surgery, Inc. Connected surgical staples and stapling instruments for deploying the same
US8763875B2 (en) 2006-09-29 2014-07-01 Ethicon Endo-Surgery, Inc. End effector for use with a surgical fastening instrument
US9706991B2 (en) 2006-09-29 2017-07-18 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples including a lateral base
US20100133317A1 (en) * 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US8808325B2 (en) 2006-09-29 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with staples having crown features for increasing formed staple footprint
US9603595B2 (en) 2006-09-29 2017-03-28 Ethicon Endo-Surgery, Llc Surgical instrument comprising an adjustable system configured to accommodate different jaw heights
US8899465B2 (en) 2006-09-29 2014-12-02 Ethicon Endo-Surgery, Inc. Staple cartridge comprising drivers for deploying a plurality of staples
US8360297B2 (en) 2006-09-29 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling instrument with self adjusting anvil
US9179911B2 (en) 2006-09-29 2015-11-10 Ethicon Endo-Surgery, Inc. End effector for use with a surgical fastening instrument
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US8973804B2 (en) 2006-09-29 2015-03-10 Ethicon Endo-Surgery, Inc. Cartridge assembly having a buttressing member
US20080078807A1 (en) * 2006-09-29 2008-04-03 Hess Christopher J Connected surgical staples and stapling instruments for deploying the same
US9408604B2 (en) 2006-09-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instrument comprising a firing system including a compliant portion
US20080078805A1 (en) * 2006-09-29 2008-04-03 Todd Phillip Omaits Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
US20080078800A1 (en) * 2006-09-29 2008-04-03 Hess Christopher J Surgical stapling instruments and staples
US20080082115A1 (en) * 2006-09-29 2008-04-03 Morgan Jerome R Method of manufacturing staples
US7506791B2 (en) 2006-09-29 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression
US20080082126A1 (en) * 2006-09-29 2008-04-03 Murray Michael A Surgical staple having a deformable member with a non-circular cross-sectional geometry
US20080082125A1 (en) * 2006-09-29 2008-04-03 Murray Michael A Surgical staple having a deformable member with a non-circular cross-sectional geometry
US7794475B2 (en) 2006-09-29 2010-09-14 Ethicon Endo-Surgery, Inc. Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same
US8348131B2 (en) 2006-09-29 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical indicator to show levels of tissue compression
US20080078801A1 (en) * 2006-09-29 2008-04-03 Shelton Frederick E Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US20080164296A1 (en) * 2007-01-10 2008-07-10 Shelton Frederick E Prevention of cartridge reuse in a surgical instrument
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8479969B2 (en) 2007-01-10 2013-07-09 Ethicon Endo-Surgery, Inc. Drive interface for operably coupling a manipulatable surgical tool to a robot
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US20100301095A1 (en) * 2007-01-10 2010-12-02 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8517243B2 (en) 2007-01-10 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8746530B2 (en) 2007-01-10 2014-06-10 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US9757123B2 (en) 2007-01-10 2017-09-12 Ethicon Llc Powered surgical instrument having a transmission system
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US20080167672A1 (en) * 2007-01-10 2008-07-10 Giordano James R Surgical instrument with wireless communication between control unit and remote sensor
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US7434717B2 (en) 2007-01-11 2008-10-14 Ethicon Endo-Surgery, Inc. Apparatus for closing a curved anvil of a surgical stapling device
US9750501B2 (en) 2007-01-11 2017-09-05 Ethicon Endo-Surgery, Llc Surgical stapling devices having laterally movable anvils
US9700321B2 (en) 2007-01-11 2017-07-11 Ethicon Llc Surgical stapling device having supports for a flexible drive mechanism
US20080169331A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device having supports for a flexible drive mechanism
US9603598B2 (en) 2007-01-11 2017-03-28 Ethicon Endo-Surgery, Llc Surgical stapling device with a curved end effector
US20080169327A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Apparatus for closing a curved anvil of a surgical stapling device
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
US9675355B2 (en) 2007-01-11 2017-06-13 Ethicon Llc Surgical stapling device with a curved end effector
US9730692B2 (en) 2007-01-11 2017-08-15 Ethicon Llc Surgical stapling device with a curved staple cartridge
US20080169332A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US20080169330A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved end effector
US9724091B2 (en) 2007-01-11 2017-08-08 Ethicon Llc Surgical stapling device
US9655624B2 (en) 2007-01-11 2017-05-23 Ethicon Llc Surgical stapling device with a curved end effector
US20080169328A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US9775613B2 (en) 2007-01-11 2017-10-03 Ethicon Llc Surgical stapling device with a curved end effector
US20080169329A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Curved end effector for a surgical stapling device
US9757130B2 (en) 2007-02-28 2017-09-12 Ethicon Llc Stapling assembly for forming different formed staple heights
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US7490749B2 (en) 2007-03-28 2009-02-17 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with manually retractable firing member
US20080237298A1 (en) * 2007-03-28 2008-10-02 Schall Christopher J Surgical stapling and cutting instrument with manually retractable firing member
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US9585658B2 (en) 2007-06-04 2017-03-07 Ethicon Endo-Surgery, Llc Stapling systems
US8196796B2 (en) 2007-06-04 2012-06-12 Ethicon Endo-Surgery, Inc. Shaft based rotary drive system for surgical instruments
US9750498B2 (en) 2007-06-04 2017-09-05 Ethicon Endo Surgery, Llc Drive systems for surgical instruments
US8424740B2 (en) 2007-06-04 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8616431B2 (en) 2007-06-04 2013-12-31 Ethicon Endo-Surgery, Inc. Shiftable drive interface for robotically-controlled surgical tool
US9186143B2 (en) 2007-06-04 2015-11-17 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US9795381B2 (en) 2007-06-04 2017-10-24 Ethicon Endo-Surgery, Llc Robotically-controlled shaft based rotary drive systems for surgical instruments
US20080308601A1 (en) * 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instrument with improved anvil opening features
US20080308603A1 (en) * 2007-06-18 2008-12-18 Shelton Frederick E Cable driven surgical stapling and cutting instrument with improved cable attachment arrangements
US20080308606A1 (en) * 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instrument with improved firing system
US7731072B2 (en) 2007-06-18 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with improved anvil opening features
US20080308602A1 (en) * 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instruments
US7588175B2 (en) 2007-06-18 2009-09-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with improved firing system
US20080308607A1 (en) * 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instrument with improved closure system
US7588176B2 (en) 2007-06-18 2009-09-15 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved closure system
US8322589B2 (en) 2007-06-22 2012-12-04 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US20080314962A1 (en) * 2007-06-22 2008-12-25 Boudreaux Chad P Surgical stapling instrument with an anti-back up mechanism
US9138225B2 (en) 2007-06-22 2015-09-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US20100308100A1 (en) * 2007-06-22 2010-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US20100133318A1 (en) * 2007-06-22 2010-06-03 Boudreaux Chad P Surgical Stapling Instrument With A Geared Return Mechanism
US20110233258A1 (en) * 2007-06-22 2011-09-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a firing member return mechanism
US7954684B2 (en) 2007-06-22 2011-06-07 Ehticon Endo-Surgery, Inc. Surgical stapling instrument with a firing member return mechanism
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7597229B2 (en) 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US20080314955A1 (en) * 2007-06-22 2008-12-25 Boudreaux Chad P Surgical stapling instruments
US20080314954A1 (en) * 2007-06-22 2008-12-25 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US20080314957A1 (en) * 2007-06-22 2008-12-25 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a firing member return mechanism
US7604150B2 (en) 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US20080314956A1 (en) * 2007-06-22 2008-12-25 Boudreaux Chad P Surgical stapling instrument with an artculating end effector
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US8333313B2 (en) 2007-06-22 2012-12-18 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a firing member return mechanism
US8353437B2 (en) 2007-06-22 2013-01-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US9662110B2 (en) 2007-06-22 2017-05-30 Ethicon Endo-Surgery, Llc Surgical stapling instrument with an articulatable end effector
US20090005808A1 (en) * 2007-06-29 2009-01-01 Hess Christopher J Staple cartridge cavity configuration with cooperative surgical staple
US7673782B2 (en) 2007-06-29 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a releasable buttress material
US20090001121A1 (en) * 2007-06-29 2009-01-01 Hess Christopher J Surgical staple having an expandable portion
US20090001123A1 (en) * 2007-06-29 2009-01-01 Morgan Jerome R Re-loadable surgical stapling instrument
US8727197B2 (en) 2007-06-29 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US9872682B2 (en) 2007-06-29 2018-01-23 Ethicon Llc Surgical stapling instrument having a releasable buttress material
US20090001126A1 (en) * 2007-06-29 2009-01-01 Hess Christopher J Surgical staples with improved tissue compression features
US9289206B2 (en) 2007-06-29 2016-03-22 Ethicon Endo-Surgery, Llc Lateral securement members for surgical staple cartridges
US8186560B2 (en) 2007-06-29 2012-05-29 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8590762B2 (en) 2007-06-29 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US8668130B2 (en) 2007-06-29 2014-03-11 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US7669747B2 (en) 2007-06-29 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US7735703B2 (en) 2007-06-29 2010-06-15 Ethicon Endo-Surgery, Inc. Re-loadable surgical stapling instrument
US7438209B1 (en) 2007-06-29 2008-10-21 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having a releasable staple-forming pocket
US8991676B2 (en) 2007-06-29 2015-03-31 Ethicon Endo-Surgery, Inc. Surgical staple having a slidable crown
US8925788B2 (en) 2007-06-29 2015-01-06 Ethicon Endo-Surgery, Inc. End effectors for surgical stapling instruments
US7604151B2 (en) 2007-06-29 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8672208B2 (en) 2007-06-29 2014-03-18 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a releasable buttress material
US8679155B2 (en) 2007-09-06 2014-03-25 Cardica, Inc. Surgical method utilizing a true multiple-fire surgical stapler
US7988026B2 (en) * 2007-09-06 2011-08-02 Cardica, Inc. Endocutter with staple feed
US9144427B2 (en) 2007-09-06 2015-09-29 Cardica, Inc. Surgical method utilizing a true multiple-fire surgical stapler
US7954683B1 (en) * 2007-09-06 2011-06-07 Cardica, Inc. Feeder belt with integrated surgical staples
US9345478B2 (en) 2007-09-06 2016-05-24 Cardica, Inc. Method for surgical stapling
US20090065552A1 (en) * 2007-09-06 2009-03-12 Cardica, Inc. Endocutter With Staple Feed
US9168039B1 (en) 2007-09-06 2015-10-27 Cardica, Inc. Surgical stapler with staples of different sizes
EP2182861A4 (en) * 2007-09-06 2011-08-17 Cardica Inc Endocutter with staple feed
US7963432B2 (en) 2007-09-06 2011-06-21 Cardica, Inc. Driverless surgical stapler
EP2742880A1 (en) * 2007-09-06 2014-06-18 Cardica, Inc. Endocutter with staple feed
US20110210157A1 (en) * 2007-09-06 2011-09-01 Cardica, Inc. Surgical Method for Stapling Tissue
US8403956B1 (en) 2007-09-06 2013-03-26 Cardica, Inc. Multiple-use surgical stapler
US20100230464A1 (en) * 2007-09-06 2010-09-16 Cardica, Inc. Driverless Surgical Stapler
US8439245B2 (en) 2007-09-06 2013-05-14 Cardica, Inc. True multi-fire endocutter
US9655618B2 (en) 2007-09-06 2017-05-23 Dextera Surgical Inc. Surgical method utilizing a true multiple-fire surgical stapler
US8789738B2 (en) 2007-09-06 2014-07-29 Cardica, Inc. Surgical method for stapling tissue
CN103690211B (en) * 2007-09-06 2016-09-21 卡迪卡公司 Staples can be supplied within the cutter
US8272551B2 (en) 2007-09-06 2012-09-25 Cardica, Inc. Method of utilizing a driverless surgical stapler
EP2182861A2 (en) * 2007-09-06 2010-05-12 Cardica, Inc. Endocutter with staple feed
US8070036B1 (en) 2007-09-06 2011-12-06 Cardica, Inc True multi-fire surgical stapler configured to fire staples of different sizes
US20110132961A1 (en) * 2007-09-21 2011-06-09 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US7963433B2 (en) 2007-09-21 2011-06-21 Tyco Healthcare Group Lp Surgical device having multiple drivers
US20110198385A1 (en) * 2007-09-21 2011-08-18 Tyco Healthcare Group Lp Surgical device having multiple drivers
US20110192884A1 (en) * 2007-09-21 2011-08-11 Tyco Healthcare Group Lp Surgical device having multiple drivers
US7992758B2 (en) 2007-09-21 2011-08-09 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US9282961B2 (en) 2007-09-21 2016-03-15 Covidien Lp Surgical device having multiple drivers
US8752748B2 (en) 2007-09-21 2014-06-17 Covidien Lp Surgical device having a rotatable jaw portion
US20110132960A1 (en) * 2007-09-21 2011-06-09 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US8353440B2 (en) 2007-09-21 2013-01-15 Covidien Lp Surgical device having a rotatable jaw portion
US8342379B2 (en) 2007-09-21 2013-01-01 Covidien Lp Surgical device having multiple drivers
US9204877B2 (en) 2007-09-21 2015-12-08 Covidien Lp Surgical device having a rotatable jaw portion
US7918230B2 (en) 2007-09-21 2011-04-05 Tyco Healthcare Group Lp Surgical device having a rotatable jaw portion
US9017371B2 (en) 2007-09-21 2015-04-28 Covidien Lp Surgical device having multiple drivers
US8272554B2 (en) 2007-09-21 2012-09-25 Tyco Healthcare Group Lp Surgical device having multiple drivers
US8540129B2 (en) 2008-02-13 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US9687231B2 (en) 2008-02-13 2017-06-27 Ethicon Llc Surgical stapling instrument
US20090200355A1 (en) * 2008-02-13 2009-08-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US20110068145A1 (en) * 2008-02-13 2011-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US20090206133A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
US20090206144A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US8113410B2 (en) 2008-02-14 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features
US20090206128A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US20090206123A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US20090206135A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US20090206130A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US20090206124A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8991677B2 (en) 2008-02-14 2015-03-31 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8196795B2 (en) 2008-02-14 2012-06-12 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US9211121B2 (en) 2008-02-14 2015-12-15 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus
US9867618B2 (en) 2008-02-14 2018-01-16 Ethicon Llc Surgical stapling apparatus including firing force regulation
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9204878B2 (en) 2008-02-14 2015-12-08 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US9498219B2 (en) 2008-02-14 2016-11-22 Ethicon Endo-Surgery, Llc Detachable motor powered surgical instrument
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US20090209946A1 (en) * 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9522029B2 (en) 2008-02-14 2016-12-20 Ethicon Endo-Surgery, Llc Motorized surgical cutting and fastening instrument having handle based power source
US9072515B2 (en) 2008-02-14 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8573461B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with cam-driven staple deployment arrangements
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US8540130B2 (en) 2008-02-14 2013-09-24 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8998058B2 (en) 2008-02-14 2015-04-07 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8973803B2 (en) 2008-02-14 2015-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US9872684B2 (en) 2008-02-14 2018-01-23 Ethicon Llc Surgical stapling apparatus including firing force regulation
US9095339B2 (en) 2008-02-14 2015-08-04 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US9084601B2 (en) 2008-02-14 2015-07-21 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US8657178B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US8875971B2 (en) 2008-02-14 2014-11-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206137A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US9839429B2 (en) 2008-02-15 2017-12-12 Ethicon Endo-Surgery, Llc Stapling system comprising a lockout
US20090206140A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery,Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US20090206138A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US8371491B2 (en) 2008-02-15 2013-02-12 Ethicon Endo-Surgery, Inc. Surgical end effector having buttress retention features
US8875972B2 (en) 2008-02-15 2014-11-04 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US20120175401A1 (en) * 2008-03-14 2012-07-12 Alan Bachman Hernia stapler
US8870049B2 (en) * 2008-03-14 2014-10-28 Transenterix, Inc. Hernia stapler
US9289210B2 (en) 2008-09-19 2016-03-22 Ethicon Endo-Surgery, Llc Surgical stapler with apparatus for adjusting staple height
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8205781B2 (en) 2008-09-19 2012-06-26 Ethicon Endo-Surgery, Inc. Surgical stapler with apparatus for adjusting staple height
US7954686B2 (en) 2008-09-19 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical stapler with apparatus for adjusting staple height
US7857186B2 (en) 2008-09-19 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical stapler having an intermediate closing position
US20100072256A1 (en) * 2008-09-19 2010-03-25 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US9326771B2 (en) 2008-09-19 2016-05-03 Ethicon Endo-Surgery, Llc Staple cartridge
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
US20100213241A1 (en) * 2008-09-19 2010-08-26 Ethicon Endo-Surgery, Inc. Staple cartridge
US20100072253A1 (en) * 2008-09-19 2010-03-25 Ethicon Endo-Surgery, Inc. Surgical stapler having an intermediate closing position
US8602287B2 (en) 2008-09-23 2013-12-10 Ethicon Endo-Surgery, Inc. Motor driven surgical cutting instrument
US9028519B2 (en) 2008-09-23 2015-05-12 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9549732B2 (en) 2008-09-23 2017-01-24 Ethicon Endo-Surgery, Llc Motor-driven surgical cutting instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8602288B2 (en) 2008-09-23 2013-12-10 Ethicon Endo-Surgery. Inc. Robotically-controlled motorized surgical end effector system with rotary actuated closure systems having variable actuation speeds
US9655614B2 (en) 2008-09-23 2017-05-23 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument with an end effector
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9370364B2 (en) 2008-10-10 2016-06-21 Ethicon Endo-Surgery, Llc Powered surgical cutting and stapling apparatus with manually retractable firing system
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US20100089974A1 (en) * 2008-10-15 2010-04-15 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US9101460B2 (en) 2009-01-08 2015-08-11 Rotation Medical, Inc. Implantable tendon protection systems and related kits and methods
US20100191332A1 (en) * 2009-01-08 2010-07-29 Euteneuer Charles L Implantable Tendon Protection Systems and Related Kits and Methods
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US20100193567A1 (en) * 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US20100193566A1 (en) * 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US20110006103A1 (en) * 2009-02-06 2011-01-13 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US9486214B2 (en) 2009-02-06 2016-11-08 Ethicon Endo-Surgery, Llc Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US9393015B2 (en) 2009-02-06 2016-07-19 Ethicon Endo-Surgery, Llc Motor driven surgical fastener device with cutting member reversing mechanism
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US9179910B2 (en) 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US20100241227A1 (en) * 2009-03-20 2010-09-23 Euteneuer Charles L Medical device delivery system and method
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US20100237132A1 (en) * 2009-03-23 2010-09-23 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8631992B1 (en) 2009-05-03 2014-01-21 Cardica, Inc. Feeder belt with padded staples for true multi-fire surgical stapler
US20100312250A1 (en) * 2009-06-04 2010-12-09 Euteneuer Charles L Methods and apparatus for delivering staples to a target tissue
US9179961B2 (en) 2009-06-04 2015-11-10 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US8668718B2 (en) 2009-06-04 2014-03-11 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US20100312275A1 (en) * 2009-06-04 2010-12-09 Euteneuer Charles L Methods and apparatus for fixing sheet-like materials to a target tissue
US9259220B2 (en) 2009-06-04 2016-02-16 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8840642B2 (en) 2009-06-04 2014-09-23 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US20110000950A1 (en) * 2009-06-04 2011-01-06 Euteneuer Charles L Methods and apparatus having bowstring-like staple delivery to a target tissue
US8821536B2 (en) 2009-06-04 2014-09-02 Rotation Medical, Inc. Methods and apparatus for delivering staples to a target tissue
US8821537B2 (en) 2009-06-04 2014-09-02 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8920464B2 (en) 2009-06-04 2014-12-30 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9027819B2 (en) 2009-06-04 2015-05-12 Rotation Medical, Inc. Methods and apparatus having bowstring-like staple delivery to a target tissue
US8763878B2 (en) 2009-06-04 2014-07-01 Rotation Medical, Inc. Methods and apparatus having bowstring-like staple delivery to a target tissue
US9675346B2 (en) 2009-06-04 2017-06-13 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US9095337B2 (en) 2009-06-04 2015-08-04 Rotation Medical, Inc. Methods and apparatus for delivering staples to a target issue
US8348129B2 (en) 2009-10-09 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapler having a closure mechanism
US20110084113A1 (en) * 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US20110084115A1 (en) * 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Surgical stapler having a closure mechanism
US20110087276A1 (en) * 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
US20110114699A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US8353438B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US20110114698A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US20110114700A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US20110118761A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery Circular stapler introducer with rigid distal end portion
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US8622275B2 (en) 2009-11-19 2014-01-07 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid distal end portion
US8453914B2 (en) 2009-12-24 2013-06-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US9675372B2 (en) 2009-12-24 2017-06-13 Ethicon Llc Motor-driven surgical cutting instrument with electric actuator directional control assembly
US20110155780A1 (en) * 2009-12-30 2011-06-30 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US9585660B2 (en) 2010-01-07 2017-03-07 Ethicon Endo-Surgery, Llc Method for testing a surgical tool
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US20110163147A1 (en) * 2010-01-07 2011-07-07 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US9393103B2 (en) 2010-03-11 2016-07-19 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9393104B2 (en) 2010-03-11 2016-07-19 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US20110224702A1 (en) * 2010-03-11 2011-09-15 Craig Van Kampen Tendon repair implant and method of arthroscopic implantation
US9549733B2 (en) 2010-07-20 2017-01-24 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US8439246B1 (en) 2010-07-20 2013-05-14 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US9597075B2 (en) 2010-07-30 2017-03-21 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9232945B2 (en) 2010-09-09 2016-01-12 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8794497B2 (en) 2010-09-09 2014-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8789741B2 (en) 2010-09-24 2014-07-29 Ethicon Endo-Surgery, Inc. Surgical instrument with trigger assembly for generating multiple actuation motions
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US8757465B2 (en) 2010-09-30 2014-06-24 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US8752699B2 (en) 2010-09-30 2014-06-17 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising bioabsorbable layers
US9282962B2 (en) 2010-09-30 2016-03-15 Ethicon Endo-Surgery, Llc Adhesive film laminate
US9801634B2 (en) 2010-09-30 2017-10-31 Ethicon Llc Tissue thickness compensator for a surgical stapler
US9808247B2 (en) 2010-09-30 2017-11-07 Ethicon Llc Stapling system comprising implantable layers
US9814462B2 (en) 2010-09-30 2017-11-14 Ethicon Llc Assembly for fastening tissue comprising a compressible layer
US8746535B2 (en) 2010-09-30 2014-06-10 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising detachable portions
US9295464B2 (en) 2010-09-30 2016-03-29 Ethicon Endo-Surgery, Inc. Surgical stapler anvil comprising a plurality of forming pockets
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US9826978B2 (en) 2010-09-30 2017-11-28 Ethicon Llc End effectors with same side closure and firing motions
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US9307965B2 (en) 2010-09-30 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-microbial agent
US8740034B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with interchangeable staple cartridge arrangements
US9833238B2 (en) 2010-09-30 2017-12-05 Ethicon Endo-Surgery, Llc Retainer assembly including a tissue thickness compensator
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9833242B2 (en) 2010-09-30 2017-12-05 Ethicon Endo-Surgery, Llc Tissue thickness compensators
US8763877B2 (en) 2010-09-30 2014-07-01 Ethicon Endo-Surgery, Inc. Surgical instruments with reconfigurable shaft segments
US8474677B2 (en) 2010-09-30 2013-07-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and a cover
US8777004B2 (en) 2010-09-30 2014-07-15 Ethicon Endo-Surgery, Inc. Compressible staple cartridge comprising alignment members
US8740037B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Compressible fastener cartridge
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US8740038B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a releasable portion
US9833236B2 (en) 2010-09-30 2017-12-05 Ethicon Llc Tissue thickness compensator for surgical staplers
US9795383B2 (en) 2010-09-30 2017-10-24 Ethicon Llc Tissue thickness compensator comprising resilient members
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US8783542B2 (en) 2010-09-30 2014-07-22 Ethicon Endo-Surgery, Inc. Fasteners supported by a fastener cartridge support
US9566061B2 (en) 2010-09-30 2017-02-14 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasably attached tissue thickness compensator
US9345477B2 (en) 2010-09-30 2016-05-24 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator comprising incorporating a hemostatic agent
US9572574B2 (en) 2010-09-30 2017-02-21 Ethicon Endo-Surgery, Llc Tissue thickness compensators comprising therapeutic agents
US9168038B2 (en) 2010-09-30 2015-10-27 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a tissue thickness compensator
US8814024B2 (en) 2010-09-30 2014-08-26 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of connected retention matrix elements
US8529600B2 (en) 2010-09-30 2013-09-10 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix
US8840003B2 (en) 2010-09-30 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with compact articulation control arrangement
US9358005B2 (en) 2010-09-30 2016-06-07 Ethicon Endo-Surgery, Llc End effector layer including holding features
US9113862B2 (en) 2010-09-30 2015-08-25 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a variable staple forming system
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9113865B2 (en) 2010-09-30 2015-08-25 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a layer
US9113864B2 (en) 2010-09-30 2015-08-25 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instruments with separate and distinct fastener deployment and tissue cutting systems
US9848875B2 (en) 2010-09-30 2017-12-26 Ethicon Llc Anvil layer attached to a proximal end of an end effector
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US8857694B2 (en) 2010-09-30 2014-10-14 Ethicon Endo-Surgery, Inc. Staple cartridge loading assembly
US8864009B2 (en) 2010-09-30 2014-10-21 Ethicon Endo-Surgery, Inc. Tissue thickness compensator for a surgical stapler comprising an adjustable anvil
US9592053B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc Staple cartridge comprising multiple regions
US8864007B2 (en) 2010-09-30 2014-10-21 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge having a non-uniform arrangement
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US9044227B2 (en) 2010-09-30 2015-06-02 Ethicon Endo-Surgery, Inc. Collapsible fastener cartridge
US9044228B2 (en) 2010-09-30 2015-06-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of fastener cartridges
US9033203B2 (en) 2010-09-30 2015-05-19 Ethicon Endo-Surgery, Inc. Fastening instrument for deploying a fastener system comprising a retention matrix
US8393514B2 (en) 2010-09-30 2013-03-12 Ethicon Endo-Surgery, Inc. Selectively orientable implantable fastener cartridge
US9320518B2 (en) 2010-09-30 2016-04-26 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an oxygen generating agent
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9433419B2 (en) 2010-09-30 2016-09-06 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of layers
US8899463B2 (en) 2010-09-30 2014-12-02 Ethicon Endo-Surgery, Inc. Surgical staple cartridges supporting non-linearly arranged staples and surgical stapling instruments with common staple-forming pockets
US8978954B2 (en) 2010-09-30 2015-03-17 Ethicon Endo-Surgery, Inc. Staple cartridge comprising an adjustable distal portion
US8978956B2 (en) 2010-09-30 2015-03-17 Ethicon Endo-Surgery, Inc. Jaw closure arrangements for surgical instruments
US8925782B2 (en) 2010-09-30 2015-01-06 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising multiple layers
US9700317B2 (en) 2010-09-30 2017-07-11 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasable tissue thickness compensator
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9844372B2 (en) 2010-09-30 2017-12-19 Ethicon Llc Retainer assembly including a tissue thickness compensator
US9204940B2 (en) 2011-02-15 2015-12-08 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US9005224B2 (en) 2011-02-15 2015-04-14 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US9033201B2 (en) 2011-02-15 2015-05-19 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
US8864780B2 (en) 2011-02-15 2014-10-21 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US9113977B2 (en) 2011-02-15 2015-08-25 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US9314314B2 (en) 2011-02-15 2016-04-19 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US9314331B2 (en) 2011-02-15 2016-04-19 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials in surgery
US9198751B2 (en) 2011-02-15 2015-12-01 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials in surgery
US9743970B2 (en) 2011-02-15 2017-08-29 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9655615B2 (en) 2011-04-19 2017-05-23 Dextera Surgical Inc. Active wedge and I-beam for surgical stapler
US8636189B1 (en) 2011-04-19 2014-01-28 Cardica, Inc. Active wedge for surgical stapler
US8631990B1 (en) 2011-04-25 2014-01-21 Cardica, Inc. Staple trap for surgical stapler
US9155536B1 (en) 2011-04-26 2015-10-13 Cardica, Inc. Circular stapler
US9320519B1 (en) 2011-04-26 2016-04-26 Cardica, Inc. Single-trigger clamping and firing of surgical stapler
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US9775614B2 (en) 2011-05-27 2017-10-03 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotatable staple deployment arrangements
US9271799B2 (en) 2011-05-27 2016-03-01 Ethicon Endo-Surgery, Llc Robotic surgical system with removable motor housing
US8833632B2 (en) 2011-09-06 2014-09-16 Ethicon Endo-Surgery, Inc. Firing member displacement system for a stapling instrument
US8789739B2 (en) 2011-09-06 2014-07-29 Ethicon Endo-Surgery, Inc. Continuous stapling instrument
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9687237B2 (en) 2011-09-23 2017-06-27 Ethicon Endo-Surgery, Llc Staple cartridge including collapsible deck arrangement
US9216019B2 (en) 2011-09-23 2015-12-22 Ethicon Endo-Surgery, Inc. Surgical stapler with stationary staple drivers
US9592054B2 (en) 2011-09-23 2017-03-14 Ethicon Endo-Surgery, Llc Surgical stapler with stationary staple drivers
US9237890B2 (en) 2011-10-17 2016-01-19 Covidien Lp Surgical stapling apparatus
US8931679B2 (en) 2011-10-17 2015-01-13 Covidien Lp Surgical stapling apparatus
EP2586379A1 (en) * 2011-10-26 2013-05-01 Covidien LP Staple feeding and forming apparatus
US9402628B2 (en) 2011-10-26 2016-08-02 Covidien Lp Staple feeding and forming apparatus
US8418908B1 (en) 2011-10-26 2013-04-16 Covidien Lp Staple feeding and forming apparatus
US9271726B2 (en) 2011-12-19 2016-03-01 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9414841B2 (en) 2011-12-19 2016-08-16 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9125650B2 (en) 2011-12-19 2015-09-08 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US9247978B2 (en) 2011-12-19 2016-02-02 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US9566063B2 (en) 2011-12-19 2017-02-14 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9370356B2 (en) 2011-12-19 2016-06-21 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9855037B2 (en) 2011-12-19 2018-01-02 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US9730697B2 (en) 2012-02-13 2017-08-15 Ethicon Endo-Surgery, Llc Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9084600B1 (en) 2012-02-17 2015-07-21 Cardica, Inc. Anvil-side staple trap
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9724098B2 (en) 2012-03-28 2017-08-08 Ethicon Endo-Surgery, Llc Staple cartridge comprising an implantable layer
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9314247B2 (en) 2012-03-28 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating a hydrophilic agent
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US9408605B1 (en) 2012-07-12 2016-08-09 Cardica, Inc. Single-trigger clamping and firing of surgical stapler
US9554796B2 (en) 2012-07-18 2017-01-31 Covidien Lp Multi-fire surgical stapling apparatus including safety lockout and visual indicator
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9700309B2 (en) 2013-03-01 2017-07-11 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US9468438B2 (en) 2013-03-01 2016-10-18 Eticon Endo-Surgery, LLC Sensor straightened end effector during removal through trocar
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
US9782169B2 (en) 2013-03-01 2017-10-10 Ethicon Llc Rotary powered articulation joints for surgical instruments
US9554794B2 (en) 2013-03-01 2017-01-31 Ethicon Endo-Surgery, Llc Multiple processor motor control for modular surgical instruments
US9358003B2 (en) 2013-03-01 2016-06-07 Ethicon Endo-Surgery, Llc Electromechanical surgical device with signal relay arrangement
US9326767B2 (en) 2013-03-01 2016-05-03 Ethicon Endo-Surgery, Llc Joystick switch assemblies for surgical instruments
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9351727B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Drive train control arrangements for modular surgical instruments
US9332987B2 (en) 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US9814460B2 (en) 2013-04-16 2017-11-14 Ethicon Llc Modular motor driven surgical instruments with status indication arrangements
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
US9826976B2 (en) 2013-04-16 2017-11-28 Ethicon Llc Motor driven surgical instruments with lockable dual drive shafts
US9867612B2 (en) 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9808249B2 (en) 2013-08-23 2017-11-07 Ethicon Llc Attachment portions for surgical instrument assemblies
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
US9700310B2 (en) 2013-08-23 2017-07-11 Ethicon Llc Firing member retraction devices for powered surgical instruments
US9445813B2 (en) 2013-08-23 2016-09-20 Ethicon Endo-Surgery, Llc Closure indicator systems for surgical instruments
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
US9510828B2 (en) 2013-08-23 2016-12-06 Ethicon Endo-Surgery, Llc Conductor arrangements for electrically powered surgical instruments with rotatable end effectors
US9839422B2 (en) 2014-02-24 2017-12-12 Ethicon Llc Implantable layers and methods for altering implantable layers for use with surgical fastening instruments
US9884456B2 (en) 2014-02-24 2018-02-06 Ethicon Llc Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
US9839423B2 (en) 2014-02-24 2017-12-12 Ethicon Llc Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument
US9775608B2 (en) 2014-02-24 2017-10-03 Ethicon Llc Fastening system comprising a firing member lockout
US9757124B2 (en) 2014-02-24 2017-09-12 Ethicon Llc Implantable layer assemblies
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9730695B2 (en) 2014-03-26 2017-08-15 Ethicon Endo-Surgery, Llc Power management through segmented circuit
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
US9743929B2 (en) 2014-03-26 2017-08-29 Ethicon Llc Modular powered surgical instrument with detachable shaft assemblies
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US9690362B2 (en) 2014-03-26 2017-06-27 Ethicon Llc Surgical instrument control circuit having a safety processor
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
US9833241B2 (en) 2014-04-16 2017-12-05 Ethicon Llc Surgical fastener cartridges with driver stabilizing arrangements
US9668734B2 (en) 2014-05-16 2017-06-06 Covidien Lp In-situ loaded stapler
US9877721B2 (en) 2014-06-30 2018-01-30 Ethicon Llc Fastener cartridge comprising tissue control features
US9788835B2 (en) 2014-09-02 2017-10-17 Ethicon Llc Devices and methods for facilitating ejection of surgical fasteners from cartridges
US20160058440A1 (en) * 2014-09-02 2016-03-03 Ethicon Endo-Surgery, Inc. Devices and Methods for Removably Coupling a Cartridge to an End Effector of a Surgical Device
US9700320B2 (en) * 2014-09-02 2017-07-11 Ethicon Llc Devices and methods for removably coupling a cartridge to an end effector of a surgical device
US9724094B2 (en) 2014-09-05 2017-08-08 Ethicon Llc Adjunct with integrated sensors to quantify tissue compression
US9737301B2 (en) 2014-09-05 2017-08-22 Ethicon Llc Monitoring device degradation based on component evaluation
US9788836B2 (en) 2014-09-05 2017-10-17 Ethicon Llc Multiple motor control for powered medical device
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9883861B2 (en) 2015-06-22 2018-02-06 Ethicon Llc Retainer assembly including a tissue thickness compensator
US9877723B2 (en) 2016-05-05 2018-01-30 Ethicon Llc Surgical stapling assembly comprising a selector arrangement

Also Published As

Publication number Publication date Type
GB1373227A (en) 1974-11-06 application
CA998308A (en) 1976-10-12 grant
CA998308A1 (en) grant

Similar Documents

Publication Publication Date Title
US3141583A (en) Injection gun
US3632032A (en) Apparatus using the energy produced by the explosion of a machine gun cartridge (shell)
US3464614A (en) Hand operated pneumatic fastener driving device
US3572310A (en) Compressed gas gun and valve therefor
US3292622A (en) Power operated inoculator
US4523707A (en) Surgical stapler
US3682175A (en) Squirting gun and dosing device therefor
US3622062A (en) Fastener-driving apparatus
US4381006A (en) Continuous low flow rate fluid dispenser
US6173877B1 (en) Nail magazine for a power nailer
US5049152A (en) Hemostatic clip applicator
US3904032A (en) Holder strip for feeding fastening elements into a setting device
US4936833A (en) Cartridge-holder assembly for medication dispensing unit
US4804127A (en) Fastener driving gun
US20030000956A1 (en) Adjustable push forward dispensing mechanism
EP0041022A1 (en) Self-contained gas powered surgical stapler
US4724840A (en) Surgical fastener applier with rotatable front housing and laterally extending curved needle for guiding a flexible pusher
US5433352A (en) Liquid dispenser
US2845805A (en) Duplex ratchet mechanism for calk guns
US5505704A (en) Manifold medication injection apparatus and method
US7273484B2 (en) Blood withdrawal system
US3859996A (en) Multi-dose injector
US2214224A (en) Missile projecting device
US6371348B1 (en) Fastener driving device with enhanced sequential actuation
US3612026A (en) Gas-operated revolver with rotatable magazine